Healthcare Provider Details

I. General information

NPI: 1821023763
Provider Name (Legal Business Name): RON N SHEMESH M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 MADACA LN
TAMPA FL
33618-2057
US

IV. Provider business mailing address

PO BOX 270693
TAMPA FL
33688-0693
US

V. Phone/Fax

Practice location:
  • Phone: 813-935-2273
  • Fax: 813-908-0399
Mailing address:
  • Phone: 813-935-2273
  • Fax: 813-908-0399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberME0063548
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME0063548
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME0063548
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: