MEDICARE: DR. CARRIE L SHULMAN MD

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
1	207T00000X	Neurological Surgery Physician	ME115244	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01330414	OTHER	FL	MEDICARE RAILROAD PROVIDER NUMBER

Other Identifiers

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

General Provider Information

NPI Number	:	1225017833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARRIE L SHULMAN MD

Provider Business Mailing Address
First Line	:	13121 66TH ST
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-1812
Country	:	US
Telephone Number	:	727-314-8180
Fax Number	:	727-474-6527

Provider Business Practice Location Address
First Line	:	13121 66TH ST
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-1812
Country	:	US
Telephone Number	:	813-336-4461
Fax Number	:	813-336-4466

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	08/14/2020

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Directions to “ DR. CARRIE L SHULMAN MD” Practice Location

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