Individual
MICHAEL DAVID SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1447 MEDICAL PARK BLVD STE 407, WELLINGTON, FL 33414-3183
(561) 333-1335
(561) 333-4252
Mailing address
1447 MEDICAL PARK BLVD STE 407, WELLINGTON, FL 33414-3183
(561) 333-1335
(561) 333-4252
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME175337
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/16/2015
Last updated
07/09/2025
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