Organization
BLUE OCEAN HEALTHCARE PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE JOANNE SHELL DO (OWNER)
(941) 743-3311
Entity
Organization
Contact information
Practice address
21300 GERTRUDE AVE, SUITE 1, PORT CHARLOTTE, FL 33952-5018
(941) 743-3311
(941) 743-3313
Mailing address
21300 GERTRUDE AVE, SUITE 1, PORT CHARLOTTE, FL 33952-5018
(941) 743-3311
(941) 743-3313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS8267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38218
BCBS FL
FL
01
—
DN4325
RAILROAD MEDICARE
FL
Enumeration date
06/05/2008
Last updated
10/08/2008
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