Individual
ROBERT JOHN SHAMSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8430 ENTERPRISE CIR, SUITE 130, LAKEWOOD RANCH, FL 34202-4107
(941) 366-3000
(941) 366-3002
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME22185
FL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME22185
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069344800
—
FL
01
—
33181
BCBS
FL
01
—
58244
BCBS
—
01
—
783593
AETNA
—
Enumeration date
07/12/2006
Last updated
08/26/2015
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