Shorter, Cedric D.

Shorter, Cedric D. is an individual health care provider with primary practice located at 620 10Th St N Ste 1D , St Petersburg FL 33705-1407. 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
620 10Th St N Ste 1D St Petersburg FL 33705-1407
Phone: (727) 828-8400
Fax: (727) 333-6435
Website:
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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 Mar 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194936096 NPPES
Florida MEDICAID 009597500

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