person
Shea Kathleen O'brien, MD
Obstetrics Physician in Ponte Vedra, Florida
NPI 1275054231

Shea Kathleen O'brien is a Obstetrics Physician based in Atlanta, FL and is specialized in Obstetrics. Shea Kathleen O'brien practices in Ponte Vedra, FL and has the professional credentials of MD. The NPI Number for Shea Kathleen O'brien is 1275054231 and holds a License No. TRN25522 (Florida).

The current practice location address for Shea Kathleen O'brien is 400 Colonnade Dr Ste 230, Ponte Vedra, FL and can be reached out via phone at 904-640-8249 and via fax at 904-640-8250.

Location: 400 Colonnade Dr Ste 230, Ponte Vedra, FL, 30374-8817
person
Provider Profile Details
NPI Number
1275054231
Provider Name
Shea Kathleen O'brien
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
400 Colonnade Dr Ste 230, Ponte Vedra, FL, 30374-8817
Phone Number
904-640-8249
Fax Number
904-640-8250
Provider Enumeration Date
06/29/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TRN25522 05 FL
institution
Provider Business Practice Location Address Details
Address
400 Colonnade Dr Ste 230
City
State
Zip
32081-6237
Phone Number
904-640-8249
Fax Number
904-640-8250
person
Provider Business Mailing Address Details
Address
400 Colonnade Dr Ste 230
City
State
Zip
32081-6237
Phone Number
904-640-8249
Fax Number
904-640-8250
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
ME151059 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
TRN25522 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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