Shepard, Roland David

Shepard, Roland David is an individual health care provider with primary practice located at 4224 N Tampania Ave , Tampa FL 33607-6322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Shepard, Roland David can be contacted via phone (813) 874-1353.

Contact Information

Primary practice address
4224 N Tampania Ave Tampa FL 33607-6322
Phone: (813) 874-1353
Fax: (813) 355-5962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME54530 Florida

Profile Details

NPI number 1326034885
LBN Legal business name Shepard, Roland David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Aug 27th, 2021 - about 4 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 1326034885 NPPES
Florida Other 110069380 RR MEDICARE

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