Individual
DR. DAVID SCOTT SHETTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4200 4TH ST N, SUITE F, ST PETERSBURG, FL 33703-4735
(727) 528-2015
(727) 528-2010
Mailing address
1084 RIVERSIDE RIDGE RD, TARPON SPRINGS, FL 34688-8802
(727) 422-2940
(727) 528-2010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620051601
—
FL
Enumeration date
07/28/2005
Last updated
08/28/2009
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