SHIRLEY A ICE MD PA NPI 1720249410

NPI Information

  • NPI: 1720249410
  • Provider Name: SHIRLEY A ICE MD PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 19204 E PENNSYLVANIA AVE
    DUNNELLON, FL
    ZIP 34432
  • Phone: (352) 465-2449

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NPI Details

SHIRLEY A ICE MD PA is a family medicine in Dunnellon, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHIRLEY A ICE MD PA NPI is 1720249410. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19204 E PENNSYLVANIA AVE
DUNNELLON, FL
ZIP 34432-111
Phone: (352) 465-2449
Fax: (352) 465-2451

The provider's authorized official is Shirley A Ice .
The authorized official title is President and has the following contact phone number (352) 465-2449.

The enumeration date for this NPI number is 6/24/2008 and was last updated on 11/2/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME0071113FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12532203400MEDICAIDFLORIDA
2G53771MEDICARE UPINFLORIDA
3DM022AMEDICARE PIN

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: 3/30/2025

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