Shelley Smith Tickett
Shelley Smith Tickett is a Pediatrics Physician in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
901 E Bloomingdale Ave Ste 501Brandon, FL 33511-8118
Phone: (813) 699-3995
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Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence ME90313 (FL) |
|---|
Record details
| NPI number | 1023064292 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 26, 2006 |
| Last updated in NPPES | July 1, 2024 |
| Certification date | July 1, 2024 |
| Mailing address | 14902 Heronglen Dr, Lithia, FL 33547-5887 |
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