Individual
MR. ERIC ALLEN SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4730 N HABANA AVE, STE 104, TAMPA, FL 33614-7163
(813) 739-7498
(813) 864-0788
Mailing address
4730 N HABANA AVE, STE 204, TAMPA, FL 33614-7163
(813) 549-2134
(813) 864-4436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015880200
—
FL
Enumeration date
10/07/2015
Last updated
04/19/2017
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