Shirley A Ice Md Pa in Dunnellon - Family Medicine
Shirley A Ice Md Pa - NPI 1720249410
Shirley A Ice Md Pa is a Family Medicine in Dunnellon, Florida. Shirley A Ice Md Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shirley A Ice Md Pa is 1720249410. The last update date is 2010-11-02.
Shirley A Ice Md Pa's current location address is 19204 E Pennsylvania Ave, Dunnellon, Florida. You can contact this provider via phone number 3524652449 and fax number 3524652451. The mailing address for Shirley A Ice Md Pa is 19204 E Pennsylvania Ave, Dunnellon, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shirley A Ice Md Pa |
|---|---|
| Address | 19204 E Pennsylvania Ave, Dunnellon, Florida |
| Phone Number | 3524652449 |
| Fax Number | 3524652451 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ice A Shirley |
| Credentials | MD |
| Telephone Number | 3524652449 |
NPI Number Detail
| NPI Number | 1720249410 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2010-11-02 |
Provider Mailing Address Detail
| Address | 19204 E Pennsylvania Ave |
|---|---|
| City | Dunnellon |
| State | Florida (FL) |
| Post Code | 344326111 |
| Phone Number | 3524652449 |
| Fax Number | 3524652451 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME0071113 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2532203400 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shirley A Ice Md Pa by the Centers for Medicare & Medicaid Services?
The Shirley A Ice Md Pa has been assigned the NPI (National Provider Identifier) 1720249410. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shirley A Ice Md Pa?
The Shirley A Ice Md Pa is situated at 19204 E Pennsylvania Ave, in the city of Dunnellon, state of FL, with the zip code 344326111.
What is the area of specialization for Shirley A Ice Md Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shirley A Ice Md Pa is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
When was the Shirley A Ice Md Pa's 1720249410 issued?
The Shirley A Ice Md Pa's 1720249410 was issued on 2008-06-24.
As of what date were the details related to Shirley A Ice Md Pa most recently updated or revised?
The information pertaining to Shirley A Ice Md Pa, including its address, specialty, and other relevant details, was last updated or revised on 2010-11-02.