Shires, Dana L

Shires, Dana L is an individual health care provider with primary practice located at 409 Bayshore Blvd , Tampa FL 33606-2707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Shires, Dana L can be contacted via phone (813) 251-8017.

Contact Information

Primary practice address
409 Bayshore Blvd Tampa FL 33606-2707
Phone: (813) 251-8017
Fax: (813) 251-0096
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME0009931 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 009609 Georgia

Profile Details

NPI number 1093718298
LBN Legal business name Shires, Dana L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated May 22nd, 2008 - about 18 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 1093718298 NPPES
Florida MEDICAID 038852100

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