Shoemaker, Steven Bradshaw
Shoemaker, Steven Bradshaw is an individual health care provider with primary practice located at 200 Healthcare Way Suite 103, North Venice FL 34275-3226. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Shoemaker, Steven Bradshaw can be contacted via phone (941) 261-0160.Contact Information
Primary practice address
200 Healthcare Way Suite 103
North Venice FL 34275-3226
Phone: (941) 261-0160
Fax: (941) 261-0165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME86978 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME86978 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME86978 | Florida |
Profile Details
| NPI number | 1114021144 |
|---|---|
| LBN Legal business name | Shoemaker, Steven Bradshaw |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Oct 1st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114021144 | NPPES |
| Georgia | MEDICAID | 393799458A | |
| Georgia | MEDICAID | 2784831-00 |
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