Laine Sheppard in Pensacola - Adolescent Medicine
Laine Sheppard - NPI 1982730016
Laine Sheppard is a Adolescent Medicine in Pensacola, Florida. Laine Sheppard practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Laine Sheppard is 1982730016. The last update date is 2014-11-04.
Laine Sheppard's current location address is 250 Brent Ln, Pensacola, Florida. You can contact this provider via phone number 8509691936 and fax number 8509691616. The mailing address for Laine Sheppard is 250 Brent Ln, Pensacola, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laine Sheppard |
|---|---|
| Address | 250 Brent Ln, Pensacola, Florida |
| Phone Number | 8509691936 |
| Fax Number | 8509691616 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982730016 |
|---|---|
| Provider Enumeration Date | 2007-02-25 |
| Last Updated Date | 2014-11-04 |
Provider Mailing Address Detail
| Address | 250 Brent Ln |
|---|---|
| City | Pensacola |
| State | Florida (FL) |
| Post Code | 325032267 |
| Phone Number | 8509691936 |
| Fax Number | 8509691616 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Ra0000X |
| Licence No | 54144 |
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Definition: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 62848400 | FL | -- |
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What is the Laine Sheppard's unique identification number?
The Laine Sheppard has been assigned the NPI (National Provider Identifier) Number 1982730016 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Laine Sheppard located?
The Laine Sheppard is located at 250 Brent Ln, Pensacola, FL 325032267.
What is Laine Sheppard's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Laine Sheppard is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Ra0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982730016 to Laine Sheppard?
The Centers for Medicare & Medicaid Services assigned the 1982730016 to Laine Sheppard on 2007-02-25.
As of what date were the details related to Laine Sheppard most recently updated or revised?
The information pertaining to Laine Sheppard, including its address, specialty, and other relevant details, was last updated or revised on 2014-11-04.