Individual
BRIAN J SHIPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9351 CORKSCREW RD STE 103, ESTERO, FL 33928-6801
(239) 687-3199
(855) 398-9437
Mailing address
525 COUNTRY CLUB DR, WILMINGTON, DE 19803-2430
(302) 354-4895
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
OS077302-E
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS17841
FL
Other
Enumeration date
05/02/2006
Last updated
12/04/2025
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