SHIRLEY A ICE MD PA
NPI 1720249410
Family Medicine in Dunnellon, FL

Active since June 24, 2008
19204 E PENNSYLVANIA AVE, DUNNELLON, FL 34432(352) 465-2449(352) 465-2451 Get Directions Write a Review

NPPES record last updated: November 2, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shirley A Ice Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY A ICE MD PA (NPI 1720249410) is a healthcare organization registered as a family medicine in Dunnellon, Florida and active in the NPI registry since June 2008. The organization lists Shirley A Ice, President, as its authorized official.

NPPES Registry Identity

NPI1720249410
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHIRLEY A ICE MD PA
Location Address19204 E PENNSYLVANIA AVEDunnellon, FL 34432-6111
Mailing Address19204 E Pennsylvania AveDunnellon, FL 34432-6111 · (352) 465-2449 · Fax (352) 465-2451
Fax(352) 465-2451
Organization SubpartNo
Authorized OfficialShirley A IcePresident · (352) 465-2449
Enumeration DateJune 24, 2008
Last NPPES UpdateNovember 2, 2010
✔ NPI 1720249410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME0071113
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
19204 E PENNSYLVANIA AVE, Dunnellon, FL 34432

Other Identifiers 3

Medicaid2532203400FL
Medicare UPING53771FL
Medicare PINDM022A

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
19204 E PENNSYLVANIA AVE
DUNNELLON, FL 34432
Nurse Practitioner (Family)
19204 E PENNSYLVANIA AVE
DUNNELLON, FL 34432
General Practice
19204 E PENNSYLVANIA AVE
DUNNELLON, FL 34432
Clinic/Center (Federally Qualified Health Center (FQHC))
19204 E PENNSYLVANIA AVE
DUNNELLON, FL 34432
Internal Medicine
19204 E PENNSYLVANIA AVE
DUNNELLON, FL 34432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley A Ice MD PA's NPI number?

The NPI number for Shirley A Ice MD PA is 1720249410. It was assigned to this organization in the NPPES registry on June 24, 2008.

Where is Shirley A Ice MD PA located?

Shirley A Ice MD PA is located at 19204 E Pennsylvania Ave, Dunnellon, FL 34432. The listed phone number is (352) 465-2449.

What is Shirley A Ice MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Shirley A Ice MD PA was last updated on November 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.