JUSTIN L. SHIELDS MD PA
Osteopathic Medicine at Fontaine St, Pensacola, FL

License number
Florida ME45060
Category
Osteopathic Medicine
Type
MOHS-Micrographic Surgery
Owner
Name: JUSTIN L SHIELDS M.D.
Title: PRESIDENT
Phone: (850) 380-0481
Address
Address 2
540 Fontaine St, Pensacola, FL 32503
PO Box 1555, Gulf Breeze, FL 32562
National Provider ID: 1114951449
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JUSTIN L. SHIELDS MD PA at bizstanding.com

Justin L. Shields, M.D., PA

540 Fontaine St, Pensacola, FL 32503

Status:
Inactive
Registration:
Feb 17, 1994
State ID:
P94000017809
Business type:
Domestic for Profit Corporation
President:
Justin L L Shields President, inactive
Agent:
John A. Moran

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