Individual
SHAYNE MARIE GADEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12951 WALSINGHAM RD, LARGO, FL 33774-3538
(727) 391-0158
(727) 392-5192
Mailing address
4033 TAMPA RD, STE. 101, OLDSMAR, FL 34677-3224
(813) 854-2003
(813) 855-2367
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME75560
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254639600
—
FL
Enumeration date
07/13/2006
Last updated
06/09/2021
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