Shelley Sue Jaquish in Tampa - Otolaryngology

Shelley Sue Jaquish - NPI 1558329300

Shelley Sue Jaquish is a Otolaryngology in Tampa, Florida. Shelley Sue Jaquish practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Shelley Sue Jaquish is 1558329300. The last update date is 2019-04-24.

Shelley Sue Jaquish's current location address is 10002 Princess Palm Ave Ste 332, Tampa, Florida. You can contact this provider via phone number 8135717184 and fax number 8136544695. The mailing address for Shelley Sue Jaquish is 10002 Princess Palm Ave Ste 332, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Shelley Sue Jaquish
Address 10002 Princess Palm Ave Ste 332, Tampa, Florida
Phone Number 8135717184
Fax Number 8136544695
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1558329300
Provider Enumeration Date 2006-05-02
Last Updated Date 2019-04-24

Provider Mailing Address Detail

Address 10002 Princess Palm Ave Ste 332
City Tampa
State Florida (FL)
Post Code 336198327
Phone Number 8135717184
Fax Number 8136544695

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No ME82762
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
280250 FL AVMED
2597386 FL AETNA
1000331 FL UNITED HEALTH CARE
220342 FL AMERIGROUP
1150 FL BCBS
261879600 FL --
3839012002 FL CIGNA

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FAQs about Shelley Sue Jaquish

What is the unique identifier code issued to Shelley Sue Jaquish by the Centers for Medicare & Medicaid Services (CMS)?

The Shelley Sue Jaquish has been assigned the NPI (National Provider Identifier) 1558329300. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Shelley Sue Jaquish is physically located?

The Shelley Sue Jaquish is physically situated at the following address: 10002 Princess Palm Ave Ste 332, Tampa, FL, 336198327.

What is the area of specialization for Shelley Sue Jaquish, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Shelley Sue Jaquish is Otolaryngology, and the corresponding taxonomy code that categorizes this area of expertise is 207Y00000X.

On what date did Shelley Sue Jaquish receive its 1558329300 assignment from the Centers for Medicare & Medicaid Services?

The Shelley Sue Jaquish was assigned its 1558329300 on 2006-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Shelley Sue Jaquish, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Shelley Sue Jaquish, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-04-24.

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