Provider Demographics
NPI:1598924896
Name:SHELLING, MICHAEL LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LAWRENCE
Last Name:SHELLING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10075 S JOG RD
Mailing Address - Street 2:STE 206
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3536
Mailing Address - Country:US
Mailing Address - Phone:561-737-1100
Mailing Address - Fax:561-731-4419
Practice Address - Street 1:10075 S JOG RD
Practice Address - Street 2:STE 206
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3536
Practice Address - Country:US
Practice Address - Phone:561-737-1100
Practice Address - Fax:561-731-4419
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2017-06-15
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Provider Licenses
StateLicense IDTaxonomies
FLME111217207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGJ444ZMedicare PIN