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Dr. Shelley Sue Jaquish, MD
Otolaryngology Physician in St Petersburg, Florida
NPI 1558329300

Shelley Sue Jaquish is a Otolaryngology Physician based in Tampa, FL. Shelley Sue Jaquish practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for Shelley Sue Jaquish is 1558329300 and holds a License No. ME82762 (Florida).

The current practice location address for Shelley Sue Jaquish is 6827 First Avenue South, St Petersburg, FL and can be reached out via phone at 727-341-0551 and via fax at 727-341-0332. You can also correspond with Shelley Sue Jaquish through the mailing address at 10002 PRINCESS PALM AVE STE 332, TAMPA, FL - 33619-8327 (mailing address contact number: 813-571-7184).

Location: 6827 First Avenue South, St Petersburg, FL, 33619-8327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558329300
Provider Name
Shelley Sue Jaquish
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6827 First Avenue South, St Petersburg, FL, 33619-8327
Phone Number
727-341-0551
Fax Number
727-341-0332
Provider Enumeration Date
05/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
280250 01 FL AVMED
2597386 01 FL AETNA
1000331 01 FL UNITED HEALTH CARE
220342 01 FL AMERIGROUP
01150 01 FL BCBS
261879600 05 FL
3839012002 01 FL CIGNA
institution
Provider Business Practice Location Address Details
Address
6827 First Avenue South
City
St Petersburg
State
Florida
Zip
33707-4516
Phone Number
727-341-0551
Fax Number
727-341-0332
person
Provider Business Mailing Address Details
Address
6827 First Avenue South
City
St Petersburg
State
Florida
Zip
33707-4516
Phone Number
727-341-0551
Fax Number
727-341-0332
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
ME82762 (Florida)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngic Allergy
Taxonomy
207YX0602X
License No.
ME82762 (Florida)
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
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