Philip Shenefelt
Dermatologist
12901 Bruce B Downs Blvd Mdc 79
Tampa
, Florida 33612-4742
Philip Shenefelt
Dermatologist
12901 Bruce B Downs Blvd Mdc 79
Tampa
, Florida 33612-4742
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Philip Shenefelt
- Po Box 917770
- Orlando, FL
- Zip : 32891-7770
- Phone :
Second Address
- Philip Shenefelt
- 12901 Bruce B Downs Blvd Mdc 79
- Tampa, FL
- Zip : 33612-4742
- Phone : (813) 974-2920
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | ME50881 | FL |
National Provider Identifier
| NPI | 1013955681 |
|---|---|
| Provider Name | Philip Shenefelt |
| First Address | Orlando, FL 32891-7770 |
| Second Address | Tampa, FL 33612-4742 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2006 |
| Last Update Date | 18/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 04534 | BLUE CROSS BLUE SHIELD (01) | FL |
| 046764200 | (05) | FL |
| B56564 | (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.