Individual
DR. ELIZABETH BROOKE SHEPARD ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3890 TAMPA RD STE 102, PALM HARBOR, FL 34684-3677
(727) 781-3150
(813) 635-2636
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME103027
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001370600
—
FL
01
—
P01137682
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
08/29/2007
Last updated
03/22/2021
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