Elizabeth Sheppard (NPI# 1891098943, PAC ID# 6507040326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1891098943 |
| PAC ID by PECOS | 6507040326 |
| Professional Enrollment ID | I20110401000748 |
| Full Name | Elizabeth Sheppard |
| Organization Legal Name | UROLOGIC SPECIALISTS OF CENTRAL FLORIDA PLLC |
| Address |
575 S Wickham Rd Suite A West Melbourne FL 32904-1170 |
| Phone Number | 3217278940 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0941543177 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| 100316 | PALM BAY HOSPITAL |
| 100291 | STEWARD MELBOURNE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 575 S Wickham Rd, Suite A, West Melbourne, FL 32904-1170 | 3217278940 | UROLOGIC SPECIALISTS OF CENTRAL FLORIDA PLLC |
| Organization Legal Name | UROLOGIC SPECIALISTS OF CENTRAL FLORIDA PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Saracino | Urology | Urologic Specialists of Central Florida Pllc | 575 S Wickham Rd, Suite A, West Melbourne, FL 32904-1170 |
| Street Address |
575 S WICKHAM RD SUITE A |
| City | WEST MELBOURNE |
| State | FL |
| Zip | 32904-1170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Saracino | Urology | Urologic Specialists of Central Florida Pllc | 575 S Wickham Rd, Suite A, West Melbourne, FL 32904-1170 |
| Prodromos G Borboroglu | Urology | 575 S Wickham Rd, Suite B, West Melbourne, FL 32904-1170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose A Vazquez | Ophthalmology | Aggarwal Medical Associates Pa | 232 S Wickham Rd, Melbourne, FL 32904-1123 |
| Karen M Rafferty | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Julie N. Chevillet | Orthopedic Surgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| Ana V Delgado | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Alberto Perez Dimaggio | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Brad E Mccollom | Neurosurgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| James Ploucha | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Krishna Vara | General Practice | 395 S Wickham Rd, West Melbourne, FL 32904-1135 | |
| Robert J Kennedy | Diagnostic Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Brian Dunfee | Interventional Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Find all physicians in zip 32904 | |||
| City | WEST MELBOURNE |
| Zip Code | 32904 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WEST MELBOURNE + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.