DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACQUELINE MARIE SHUPLOCK M.D.

MEDICARE: JACQUELINE MARIE SHUPLOCK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0202XPediatric Cardiology PhysicianMD0000053338TN
2390200000XStudent in an Organized Health Care Education/Training Program
32080P0202XPediatric Cardiology PhysicianME152200FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851650717
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE MARIE SHUPLOCK M.D.
Provider Business Mailing Address
First Line : 2501 N ORANGE AVE STE 310
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4642
Country : US
Telephone Number : 407-303-2001
Fax Number : 407-303-2450
Provider Business Practice Location Address
First Line : 2501 N ORANGE AVE STE 310
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4642
Country : US
Telephone Number : 407-303-2001
Fax Number : 407-303-2450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2012
Last Update Date : 01/19/2022

Similar Medicare Providers

1710928759 — JOSEPH A. PAOLILLO JR. MD
Practice Location Address:
2501 N ORANGE AVE STE 310
ORLANDO, FL
32804-4642
Practice Phone: 407-303-2001
Practice Fax:
1710968003 — KAREN LYNN IACONO APRN
Practice Location Address:
2501 N ORANGE AVE STE 310
ORLANDO, FL
32804-4642
Practice Phone: 407-303-2001
Practice Fax: 407-303-2450
1619051075 — DR. KATHY Y JONES M.D.
Practice Location Address:
2501 N ORANGE AVE STE 309
ORLANDO, FL
32804-4642
Practice Phone: 407-228-8066
Practice Fax: 407-228-8438
1578722997 — DR. KELVIN CHEE-MING LEE M.D.
Practice Location Address:
2501 N ORANGE AVE STE 310
ORLANDO, FL
32804-4642
Practice Phone: 407-303-2001
Practice Fax: 407-303-2450
1568625200 — CARLOS JAVIER BLANCO MD
Practice Location Address:
2501 N ORANGE AVE STE 310
ORLANDO, FL
32804-4642
Practice Phone: 407-303-2001
Practice Fax:
1700120847 — ABIGAIL GREER HOFSTRAND NP
Practice Location Address:
2501 N ORANGE AVE STE 310
ORLANDO, FL
32804-4642
Practice Phone: 407-303-2001
Practice Fax:

Directions to “ JACQUELINE MARIE SHUPLOCK M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.