Shockley, Michael David
Shockley, Michael David is an individual health care provider with primary practice located at 1447 Medical Park Blvd Ste 407 , Wellington FL 33414-3183. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Shockley, Michael David can be contacted via phone (561) 333-1335.Contact Information
Primary practice address
1447 Medical Park Blvd Ste 407
Wellington FL 33414-3183
Phone: (561) 333-1335
Fax: (561) 333-4252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME175337 | Florida |
Profile Details
| NPI number | 1467826362 |
|---|---|
| LBN Legal business name | Shockley, Michael David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2015 |
| Last updated | Jul 9th, 2025 - about last year |
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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