Organization
DOLPHIN ULTRASOUND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA LEE SHAFFER RDMS RDCS RVT (PRESIDENT)
(727) 585-4501
Entity
Organization
Contact information
Practice address
1679 INDIAN ROCKS RD, LARGO, FL 33774-1026
(727) 585-4501
(727) 585-4506
Mailing address
1679 INDIAN ROCKS RD, LARGO, FL 33774-1026
(727) 585-4501
(727) 585-4506
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HCC6441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05502
UNIVERSAL
FL
01
—
209925
WELLCARE
FL
01
—
219554
AMERIGROUP
FL
01
—
V2266
BCBS
FL
Enumeration date
10/02/2006
Last updated
08/22/2020
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