Philip Lee Shettle
Ophthalmologist
13113 66th St
Largo
, Florida 33773-1812
Philip Lee Shettle
Ophthalmologist
13113 66th St
Largo
, Florida 33773-1812
(727) 674-2550
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Philip Lee Shettle
- 13113 66th St
- Largo, FL
- Zip : 33773-1812
- Fax : (727) 674-2550
- Phone : (727) 674-2500
Second Address
- Philip Lee Shettle
- 13113 66th St
- Largo, FL
- Zip : 33773-1812
- Fax : (727) 674-2550
- Phone : (727) 674-2500
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207W00000X | Ophthalmologist | 32591 | CO |
| N | 207W00000X | Ophthalmologist | 5101010879 | MI |
| Y | 207W00000X | Ophthalmologist | OS 6621 | FL |
National Provider Identifier
| NPI | 1023016243 |
|---|---|
| Provider Name | Philip Lee Shettle |
| First Address | Largo, FL 33773-1812 |
| Second Address | Largo, FL 33773-1812 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2005 |
| Last Update Date | 16/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 180045006 | RAILROAD MEDICARE (01) | FL |
| 378381200 | (05) | FL |
| 80884 | BCBS OF FLORIDA (01) | FL |
| F78535 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.