DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHELLEY SUE JAQUISH, M.D.

Active Sole Proprietor

DR. SHELLEY SUE JAQUISH, M.D. is a Otolaryngology healthcare provider located in ST PETERSBURG, Florida. NPI 1558329300 is currently active in the NPPES registry. Verify at CMS.

Otolaryngology · ST PETERSBURG, FL

Registration Details

NPI Number
1558329300
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2006 (20.309777177459 yrs)
Last Updated
Apr 24, 2019
Licenses
ME82762 (FL)
ME82762 (FL)
Sole Proprietor
Yes

Practice Information

Address
6827 FIRST AVENUE SOUTH
SUITE 100
ST PETERSBURG, FL, 337074516
Browse FL providers · Browse ZIP 33707
Phone
7273410551
Fax
7273410332
Primary Specialty
Otolaryngology
207Y00000X
Additional Specialty
Otolaryngology

Other Otolaryngology Providers in ST PETERSBURG, FL

Name Credential NPI
TIMOTHY M DUNLEVY MD 1518948272
DR. DONALD C LANZA M.D. 1700843885
DR. JAMES NESBIT ENDICOTT II MD 1295775526
DR. RICARDO REQUENA M.D. 1093751000
TRINA ELENA ESPINOLA M.D. 1922024421
DR. ELISA MARGO LYNSKEY M.D. 1457557654
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.