Individual
DR. DANIEL P SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10000 BAY PINES BLVD UNIT 106, BAY PINES, FL 33744-8202
(727) 398-6661
Mailing address
1723 11TH AVE N, ST PETERSBURG, FL 33713-5701
(727) 744-8176
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG003069
PA
152W00000X
Optometrist
Primary
OPC005124
FL
Other
Enumeration date
10/24/2011
Last updated
12/09/2021
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