Shirley A Ice Md Pa

LBN: Shirley A Ice Md Pa
Shirley A Ice Md Pa is an health care organization with primary practice located at 19204 E Pennsylvania Ave , Dunnellon FL 34432-6111. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Shirley A Ice Md Pa can be contacted via phone (352) 465-2449, or through Ice, Shirley A via phone (352) 465-2449.

Contact Information

Primary practice address
19204 E Pennsylvania Ave Dunnellon FL 34432-6111
Phone: (352) 465-2449
Fax: (352) 465-2451
Website:
Map and Directions
Authorized official contact:
Name: Ice, Shirley A Doctor of Medicine (MD)
Phone: (352) 465-2449

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0071113 Florida

Profile Details

NPI number 1720249410
LBN Legal business name Shirley A Ice Md Pa
DBA Doing business as
Authorized official Ice, Shirley A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2008
Last updated Nov 2nd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720249410 NPPES
Florida MEDICAID 2532203400

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