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General NPI Number Information
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NPI Number | 1356453021
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Entity Type | Individual
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Provider Name | JOSEPH CARL SHANKLIN MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 2329 SUNSET POINT RD STE 203
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City | CLEARWATER
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State | FL
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Zip | 33765-1438
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Country | US
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Telephone | 727-669-3911
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Fax | 727-669-3813
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Provider Business Mailing Address
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Address Line | 2329 SUNSET POINT RD STE 203
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City | CLEARWATER
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State | FL
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Zip | 33765-1438
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Country | US
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Telephone | 727-669-3911
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Fax | 727-669-3813
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME0074312
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME0074312
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME74312
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License Number State | FL
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