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Individual

DR. JOEL MICHAEL SHULKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
880 6TH ST S, STE 410, ST PETERSBURG, FL 33701-4827
(727) 767-8035
Mailing address
880 6TH ST S, STE 410, ST PETERSBURG, FL 33701-4827
(727) 767-8035

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
31988
SC
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
ME118424
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
319881
SC
Enumeration date
05/26/2006
Last updated
08/11/2016
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