NPI 1013434398

Simeon Shepard

Practitioner Surgical Assistant Odessa, FL

Practice location

Address: 13238 Royal George Ave, Odessa, FL 33556
Phone: (386) 566-1949
Mailing address: 13238 Royal George Ave, Odessa, FL 33556-5724

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 119725 (FL)

Other Specialist/Technologist, Other providers in Florida →

Registry record

NPI: 1013434398
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.