R Bradley Sheldon MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME80982 Issued in FL

Legal business name

R BRADLEY SHELDON MD PA

Practice address

350D Racetrack Rd NW
Fort Walton Beach, FL 32547-1699

Phone

(850) 863-1920

Fax

(850) 864-5961

NPI assigned

May 15, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Anita D Mohnasky

Title

Office Manager

Phone

(850) 863-1920

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1518134717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350D RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471699",
            "telephone_number": "850-863-1920",
            "fax_number": "850-864-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350D RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471699",
            "telephone_number": "850-863-1920",
            "fax_number": "850-864-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R BRADLEY SHELDON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "MOHNASKY",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-863-1920",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME80982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Ashley Pybass, MD
• Melissa Munir Qaqish, LMHC
• Quality Primary Care PLLC (Quality Primary Care)
• Quality Urgent Care & Wellness PL
• Jessica Quick
• Tara Ann Rabitaille, MSW
• Radiance of the Emerald Coast
• Caroline Daniela Radosz, N.D.,P.T.,D.P.T
• Haley Radovanovic
• Hamed David Rahmanie, MD

• Family Medicine Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.