Healthcare Provider Details

I. General information

NPI: 1568156271
Provider Name (Legal Business Name): SHELLON BAUGH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3515 SE 17TH ST STE 100
OCALA FL
34471-5588
US

IV. Provider business mailing address

3515 SE 17TH ST STE 100
OCALA FL
34471-5588
US

V. Phone/Fax

Practice location:
  • Phone: 352-509-9165
  • Fax:
Mailing address:
  • Phone: 352-509-9165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number182153
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number37501
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: