Individual
KEITH T. SHEARLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 LANGLEY AVE, PENSACOLA, FL 32504-4715
(850) 478-1400
(850) 478-1440
Mailing address
3001 LANGLEY AVE, PENSACOLA, FL 32504-4715
(850) 478-1400
(850) 478-1440
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
ME 25894
FL
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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