Shea Kathleen O'brien
Obstetrician
14546 Old Saint Augustine Rd Ste 305-311
Jacksonville
, Florida 32258-5468
Shea Kathleen O'brien
Obstetrician
14546 Old Saint Augustine Rd Ste 305-311
Jacksonville
, Florida 32258-5468
(813) 282-1806
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Shea Kathleen O'brien
- Po Box 25317
- Tampa, FL
- Zip : 33622-5317
- Fax : (813) 282-1806
- Phone : (813) 286-0033
Second Address
- Shea Kathleen O'brien
- 14546 Old Saint Augustine Rd Ste 305-311
- Jacksonville, FL
- Zip : 32258-5468
- Phone : (904) 260-2255
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | ME151059 | FL |
National Provider Identifier
| NPI | 1275054231 |
|---|---|
| Provider Name | Shea Kathleen O'brien |
| First Address | Tampa, FL 33622-5317 |
| Second Address | Jacksonville, FL 32258-5468 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2017 |
| Last Update Date | 02/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| TRN25522 | (05) | 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.