Organization
SONDRA SHIELDS, MD, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONDRA E SHIELDS M.D. (OWNER)
(813) 978-3579
Entity
Organization
Contact information
Practice address
14437 UNIVERSITY COVE PLACE, TAMPA, FL 33613-3741
(813) 978-3579
(813) 978-3539
Mailing address
14437 UNIVERSITY COVE PLACE, TAMPA, FL 33613-3741
(813) 978-3579
(813) 978-3539
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME62444
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME62444
FL
Other
Enumeration date
01/05/2012
Last updated
03/23/2012
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