Shorter, Cedric D.

Shorter, Cedric D. is an individual health care provider with primary practice located at 603 7Th St S Suite 540, St Petersburg FL 33701-4734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Shorter, Cedric D. can be contacted via phone (727) 828-8400.

Contact Information

Primary practice address
603 7Th St S Suite 540 St Petersburg FL 33701-4734
Fax: (727) 828-8401
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME117022 Florida

Profile Details

NPI number 1194936096
LBN Legal business name Shorter, Cedric D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Sep 29th, 2014 - about 10 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 1194936096 NPPES
Florida MEDICAID 009597500

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