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NPI Code Detail

MEDICARE: AARON M SHEVLIN DPM PA

MEDICARE: AARON M SHEVLIN DPM PA
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
1261Q00000XClinic/Center
2332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1629256417
Entity Type Code : Organization
Provider Name (Legal Business Name) : AARON M SHEVLIN DPM PA
Provider Business Mailing Address
First Line : 1696 SE HILLMOOR DR
Second Line : STE B
City : PORT SAINT LUCIE
State : FL
Zip : 34952-7699
Country : US
Telephone Number : 772-335-1200
Fax Number : 772-335-1292
Provider Business Practice Location Address
First Line : 1696 SE HILLMOOR DR
Second Line : STE B
City : PORT SAINT LUCIE
State : FL
Zip : 34952-7699
Country : US
Telephone Number : 772-335-1200
Fax Number : 772-335-1292
Authorized Official
Title or Position : PRESIDENT
Name : AARON SHEVLIN
Credential : DPM
Telephone Number : 772-335-1200
Provider Enumeration Date : 02/05/2008
Last Update Date : 03/18/2010

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Directions to “AARON M SHEVLIN DPM PA ” Practice Location

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