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

Shishir David

Individual provider Family Medicine Physician · NPI 1053937763

Shishir David is a Family Practice in Jacksonville, Florida. Qualified in 2016, 10 years ago. Practices with Dedicated Senior Medical Center of Florida, LLC, a 56-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

3059 Edgewood Ave W
Jacksonville, FL 32209-2207
Phone: (904) 647-3180
Fax: (904) 425-9030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME163941 (FL)

Record details

NPI number1053937763
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2020
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address3059 Edgewood Ave W, Jacksonville, FL 32209-2207

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Dedicated Senior Medical Center Of Florida, Llc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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