Amber Shepard (NPI# 1033563580, PAC ID# 5294029187) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1033563580 |
| PAC ID by PECOS | 5294029187 |
| Professional Enrollment ID | I20190729003045 |
| Full Name | Amber Shepard |
| Organization Legal Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Address |
1255 State Rd 60 Suite 500 Lake Wales FL 33853-4302 |
| Phone Number | 8446343627 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0749186153 |
| Number of Group Practice Members | 823 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100099 | LAKE WALES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1120 Carlton Ave, Suite 1500, Lake Wales, FL 33853-4352 | 8636792707 | LAKE WALES CLINIC CORP |
| 1255 State Rd 60, Suite 500, Lake Wales, FL 33853-4302 | 8446343627 | FLORIDA HOSPITAL MEDICAL GROUP INC |
| 1255 State Rd 60 E, Lake Wales, FL 33853-4310 | LAKE WALES CLINIC CORP |
| Organization Legal Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Physicians | 1050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Kay Kaufmann | Certified Nurse Midwife (cnm) | Florida Hospital Medical Group Inc | 235 E Princeton St, Suite 200, Orlando, FL 32804-5555 |
| Jonathan Lucking | Colorectal Surgery (proctology) | Florida Hospital Medical Group Inc | 2415 Norange Ave, Suite 300, Orlando, FL 32804 |
| Amanda Nadeau | Family Medicine | Florida Hospital Medical Group Inc | 2000 Fowler Grove Blvd, Fl 3, Winter Garden, FL 34787-5050 |
| Jason Smith | General Surgery | Florida Hospital Medical Group Inc | 1290 Waterman Way, Tavares, FL 32778-5229 |
| Buck Andreu Scott | General Surgery | Florida Hospital Medical Group Inc | 407 S 11th St, Lake Wales, FL 33853-4243 |
| Mitchell Machado | Medical Oncology | Florida Hospital Medical Group Inc | 7975 Lake Underhill Rd, Suite 220b, Orlando, FL 32822-8202 |
| Lennie Calderon | Nurse Practitioner | Florida Hospital Medical Group Inc | 1300 W Oak St, Kissimmee, FL 34741-4024 |
| Devlin H O'connor | Family Medicine | Florida Hospital Medical Group Inc | 3330 Waterman Way, Tavares, FL 32778-5250 |
| Tutu Cheng | Plastic and Reconstructive Surgery | Florida Hospital Medical Group Inc | 410 Lionel Way, Suite 204, Davenport, FL 33837-7809 |
| Andrija Vidic | Advanced Heart Failure and Transplant Cardiology | Florida Hospital Medical Group Inc | 601 E Rolling St, Orlando, FL 32803-1248 |
| Street Address |
1255 STATE RD 60 SUITE 500 |
| City | LAKE WALES |
| State | FL |
| Zip | 33853-4302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shena R Ranon | Nurse Practitioner | Lake Wales Clinic Corp | 1255 State Rd 60, Lake Wales, FL 33853-4342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Georgianna W Sorensen | Nurse Practitioner | 237 E Park Ave, Lake Wales, FL 33853-3705 | |
| Boris D Nunez | Cardiovascular Disease (cardiology) | 320 Sr 60, Lake Wales, FL 33853-3750 | |
| Gilberto A Lozano | Internal Medicine | 320 State Rd 60, Suite 301, Lake Wales, FL 33853-3750 | |
| Dominiqua Lint | Nurse Practitioner | Central Florida Health Care Inc | 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015 |
| Beatrice Aime Celian | General Practice | Central Florida Health Care Inc | 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015 |
| Tiffany L Garner | Nurse Practitioner | Central Florida Health Care Inc | 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015 |
| Robert D Bazley | Obstetrics/gynecology | Florida Department of Health | 835 W Central Ave, Lake Wales, FL 33853-4024 |
| Leonilo V Trono | Physical Therapy | Core Rehabilitation Inc | 61 W Central Ave, Lake Wales, FL 33853-4113 |
| Kenneth Neigut | Diagnostic Radiology | Central Florida Cancer Institute Pa | 22 State Rd 60, Lake Wales, FL 33853-4118 |
| Bade Akintan | Urology | Central Florida Cancer Institute Pa | 22 State Rd 60, Lake Wales, FL 33853-4118 |
| Find all physicians in zip 33853 | |||
| City | LAKE WALES |
| Zip Code | 33853 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKE WALES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Amber Shepard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.