Organization Active NPI

Shayne N Moyles DO PL

  • Internal Medicine Physician
  • South Pasadena, FL
National Provider Identifier
1639325533
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS9968 Issued in FL
Legal business name
SHAYNE N MOYLES DO PL
Practice address
1615 Pasadena Ave S
Suite 100
South Pasadena, FL 33707-4516
Phone
(727) 504-0044
NPI assigned
Aug 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Shayne Nicole Moyles, DO
Title
Managing Member
Phone
(754) 234-3690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS9968 FL Primary

Addresses

Primary practice location

1615 Pasadena Ave S
Suite 100
South Pasadena, FL 33707-4516

Mailing address

PO Box 67061
Saint Petersburg, FL 33736-7061
Phone (727) 504-0044

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1639325533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67061",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337367061",
            "telephone_number": "727-504-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 PASADENA AVE S",
            "address_2": "SUITE 100",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074516",
            "telephone_number": "727-504-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYNE N MOYLES DO PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "MOYLES",
        "authorized_official_first_name": "SHAYNE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "754-234-3690",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.