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Contact Information

DAVID E SHUPE, D.O
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL32207-8205
 Phone: 904-202-3860
 Fax: 904-202-3846
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DAVID E SHUPE · (Male)

NPI Number 1306192372
Status Active
Credentials D.O
Entity Individual
Enumeration date 07/27/2012
Last updated 01/10/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # DO1515
  • FL License # OS18845
  • SC License # LL 1615
Hospital affiliation(s)
  • CULLMAN REGIONAL MEDICAL CENTER - (Acute Care)
    1912 ALABAMA HIGHWAY 157
    CULLMAN, AL 35058
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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