Eckardt, Shea Michael

Eckardt, Shea Michael is an sole proprietor health care provider with primary practice located at 430 Morton Plant St Suite 405, Clearwater FL 33756-3398. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Eckardt, Shea Michael can be contacted via phone (727) 443-0611.

Contact Information

Primary practice address
430 Morton Plant St Suite 405 Clearwater FL 33756-3398
Phone: (727) 443-0611
Fax: (727) 461-5493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 247067-1 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME 106174 Florida

Profile Details

NPI number 1730363912
LBN Legal business name Eckardt, Shea Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2007
Last updated Nov 21st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730363912 NPPES
Florida MEDICAID 001992800
Florida Other P01024473

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