MEDICARE: ROSABELLA SHEK 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	207RG0100X	Gastroenterology Physician	ME81590	FL

General Provider Information

NPI Number	:	1922055961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSABELLA SHEK MD

Provider Business Mailing Address
First Line	:	5857B 21ST AVE W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34209-5641
Country	:	US
Telephone Number	:	941-761-2666
Fax Number	:	941-761-2699

Provider Business Practice Location Address
First Line	:	5857B 21ST AVE W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34209-5641
Country	:	US
Telephone Number	:	941-761-2666
Fax Number	:	941-761-2699

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

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	08/30/2017

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