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1619709060
MADISON SHOCKEY
ST PETERSBURG, FL
NPI
1619709060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11034761)
Enumeration Date
2024-08-15
Last Update Date
2024-08-20
Business Address
MADISON SHOCKEY
5571 4TH ST N
ST PETERSBURG, FL 33703-2251
Phone number: 727-525-7852
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Mailing Address
MADISON SHOCKEY
10980 OAK ST NE UNIT 4205
ST PETERSBURG, FL 33716-3360
Phone number:
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