Shelley Smith Tickett

NPI #1023064292 in Brandon, Florida

Provider Information

NPI Number: 1023064292
Entity Type: Individual
Name: Shelley Smith Tickett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: May 26, 2006
Last Updated: Jul 1, 2024

Practice Location

Address: 901 E BLOOMINGDALE AVE STE 501
City: Brandon
State: Florida
ZIP Code: 33511-8118
Phone: (813) 699-3995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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