Robert Shackelford

NPI 1205215654 · on the registry since 2015 · sole proprietor

Practice

Address: 1100 Cesery Blvd
Jacksonville, FL 32211
Phone: (904) 333-7927
Organisation at this address: Hebron Dental, Inc
American Care Of North Florida, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 64

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida