Active NPI
Deborah F Shultz, MD
- General Practice Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME44191
- Practice address
- 15320 Amberly Dr Ste a
Tampa, FL 33647-1647 - Phone
- (813) 977-2090
- Fax
- (813) 977-9107
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME44191 | FL | Primary |
Addresses
Primary practice location
15320 Amberly Dr Ste a
Tampa, FL 33647-1647
Mailing address
15320 Amberly Dr Ste a
Tampa, FL 33647-1647
Phone (813) 977-2090
Other practice location 1
201 Flamingo Dr
Apollo Beach, FL 33572-2619
Phone (813) 645-4687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2155 SE Federal Hwy
Wellmed at South Stuart
Stuart, FL 34994-4514
Phone (772) 223-9630
4740 Exploration Ave
Wellmed at SE Lakeland
Lakeland, FL 33812-3319
Phone (863) 666-9020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME44191 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Management of Florida Inc | Family Medicine | Current | Accepting new patients |
| GMS Florida West Coast Inc | Family Medicine | Past | Accepting new patients |
Locations
415 Apollo Beach Blvd
Apollo Beach, FL 33572
Phone (813) 645-8494
201 Flamingo Dr
Apollo Beach, FL 33572
Phone (813) 645-4687
2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178
4740 Exploration Ave
Lakeland, FL 33812
Phone (863) 606-9020
2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630
15320 Amberly Dr
Ste A
Tampa, FL 33647
Phone (813) 977-0733
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1033395397
-
- Family Medicine Physician
- Tampa, FL
- NPI 1184681355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1154341014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15320 AMBERLY DR STE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471647",
"telephone_number": "813-977-2090",
"fax_number": "813-977-9107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15320 AMBERLY DR STE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471647",
"telephone_number": "813-977-2090",
"fax_number": "813-977-9107"
}
],
"practiceLocations": [
{
"address_1": "201 Flamingo Dr",
"address_purpose": "LOCATION",
"city": "Apollo Beach",
"state": "FL",
"postal_code": "335722619",
"country_code": "US",
"telephone_number": "813-645-4687",
"fax_number": "813-645-9648",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHULTZ",
"first_name": "DEBORAH",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME44191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.