Individual
DR. ROBERT CHARLES SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6006 49TH ST N, STE. 200, ST PETERSBURG, FL 33709-2148
(727) 490-2100
(727) 544-7389
Mailing address
6006 49TH ST N, STE. 200, ST PETERSBURG, FL 33709-2148
(727) 490-2100
(727) 544-7389
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME65461
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
ME65461
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26524
BCBS
FL
05
—
376957700
—
FL
01
—
P00913624
RAILROAD MEDICARE
FL
Enumeration date
04/03/2006
Last updated
02/10/2022
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