Individual provider Active NPI

Deborah F Shultz, MD

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1154341014
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME44191 Issued in FL
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

Updated by the provider on Nov 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070810000816 FL Practitioner - General PracticePractitioner - Family Practice 7911098512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family 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

LicenseStateTypeSpecialty
ME44191FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
GMS Florida West Coast Inc Family Medicine PastSince Jan 3, 1998 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.

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

Verify at the official NPI Registry.