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JUSTIN L. SHIELDS MD PA NPI 1114951449


NPI Information

NPI: 1114951449
Provider Name: JUSTIN L. SHIELDS MD PA
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
540 FONTAINE ST
PENSACOLA, FL
ZIP 32503
Phone: (850) 484-4775
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JUSTIN L. SHIELDS MD PA is a mohs-micrographic surgery dermatology in Pensacola, FL. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. JUSTIN L. SHIELDS MD PA NPI is 1114951449. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

540 FONTAINE ST
PENSACOLA, FL
ZIP 32503-019
Phone: (850) 484-4775
Fax: (850) 484-8223

The provider's authorized official is Justin L Shields .
The authorized official title is President and has the following contact phone number (850) 380-0481.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic SurgeryME45060FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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