NPI | 1861406019 |
---|---|
Doing Business As | ROGER SHEA, M.D., INC. |
Entity Type | Organization |
Authorized Contact | ROGER M SHEA President 941-371-2244 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME0065243) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2020-09-17 |