Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shirley a Ice MD PA

Organization Family Medicine Physician · NPI 1720249410

Shirley a Ice MD PA is a Family Medicine Physician in Dunnellon, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19204 E Pennsylvania Ave
Dunnellon, FL 34432-6111
Phone: (352) 465-2449
Fax: (352) 465-2451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME0071113 (FL)

Record details

NPI number1720249410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shirley Ice — President · (352) 465-2449
NPI enumeratedJune 24, 2008
Last updated in NPPESNovember 2, 2010
Mailing address19204 E Pennsylvania Ave, Dunnellon, FL 34432-6111

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