Individual
MRS. DESIRAE MARIE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5 TAMPA GENERAL CIR STE 300, TAMPA, FL 33606-3578
(813) 251-0793
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
02/02/2023
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