Provider Demographics
NPI:1952574170
Name:ROSABELLA SHEK, M.D., P.A.
Entity Type:Organization
Organization Name:ROSABELLA SHEK, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:ROSABELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-761-2666
Mailing Address - Street 1:5857B 21ST AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-5641
Mailing Address - Country:US
Mailing Address - Phone:941-761-2666
Mailing Address - Fax:
Practice Address - Street 1:5857B 21ST AVENUE W.
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-5641
Practice Address - Country:US
Practice Address - Phone:941-761-2666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81590174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK6068Medicare PIN
FLE44929Medicare UPIN