Individual
SHEPPARD PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
206 2ND ST E, BRADENTON, FL 34208-1042
(941) 746-5111
Mailing address
4802 51ST ST W, #1013, BRADENTON, FL 34210-5101
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
741852963
FL
Other
Enumeration date
04/10/2014
Last updated
05/12/2015
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