Shelley Smith Tickett
Pediatrics | Female
Shelley Smith Tickett is a Lake Wales, Florida based Pediatric doctor with medical specialization in
General Pediatrics. Shelley Smith Tickett is also known as
Shelley Smith Stevens.
Current practice location of Shelley Smith Tickett is
305 W Central Ave, Lake Wales, Florida - 33853-4015. She can be contacted on phone at
866-234-8534 and fax number 863-855-9737.
Shelley Smith Tickett is a sole proprietor of her business.
NPI number (Unique professional ID) for Shelley Smith Tickett is
1023064292 which was assigned by NPPES on 26 May, 2006 and it was last updated on 11 Aug, 2021.
Shelley Smith Tickett license number is
ME90313 for Pediatrics (208000000X) in Florida.
Shelley Smith Tickett is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Shelley Smith Tickett basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Shelley Smith Tickett |
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| Other Name : | Shelley Smith Stevens |
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| Gender : | Female |
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Business Address:
Shelley Smith Tickett address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 305 W Central Ave
Lake Wales, FL, 33853-4015
United States |
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| Phone Number : | 866-234-8534 |
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| Fax Number : | 863-855-9737 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1023064292 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 May, 2006 |
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| Last Updated On : | 11 Aug, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shelley Smith Tickett are as mentioned. Primary taxonomy code for Shelley Smith Tickett is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME90313 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Shelley Smith Tickett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 44141 | Other | FL | BCBS OF FLORIDA |
| 269812900 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 47 5th St Nw
Winter Haven, FL, 33881-4672
United States |
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| Phone Number : | 866-234-8534 |
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| Fax Number : | 863-837-4469 |
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Business Location:
Patients can refer following map for directions to
Shelley Smith Tickett practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.