Individual
DR. SHEA MICHAEL ECKARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 MORTON PLANT ST, SUITE 405, CLEARWATER, FL 33756-3398
(727) 443-0611
(727) 461-5493
Mailing address
430 MORTON PLANT ST, SUITE 405, CLEARWATER, FL 33756-3398
(727) 443-0611
(727) 461-5493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
247067-1
NY
207RP1001X
Pulmonary Disease Physician
Primary
ME 106174
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001992800
—
FL
01
—
P01024473
RR MCARE
—
Enumeration date
12/23/2007
Last updated
11/21/2012
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