Individual
JAMES KEITH SHELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 447-9341
(561) 447-9352
Mailing address
951 NW 13TH ST, SUITE1C, BOCA RATON, FL 33486-2359
(561) 447-9341
(561) 447-9352
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
79497
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001090600
—
FL
01
—
17422
BLUE CROSS BLUE SHIELD
FL
01
—
P00765121
RAILROAD MEDICARE
FL
Enumeration date
06/13/2006
Last updated
09/24/2013
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