MEDICARE: DR. JAMES S SHECTER 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	207P00000X	Emergency Medicine Physician	ME67971	FL

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
2	27960	OTHER	FL	DR SHECTER'S BCBS FL #

General Provider Information

NPI Number	:	1962406892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES S SHECTER MD

Provider Business Mailing Address
First Line	:	1021 N STATE ROAD 7
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-5117
Country	:	US
Telephone Number	:	561-333-9331
Fax Number	:	561-792-2918

Provider Business Practice Location Address
First Line	:	1021 N STATE ROAD 7
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-5117
Country	:	US
Telephone Number	:	561-333-9331
Fax Number	:	561-792-2918

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	05/29/2008

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