Provider Demographics
NPI:1962406892
Name:SHECTER, JAMES S (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:S
Last Name:SHECTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-5117
Mailing Address - Country:US
Mailing Address - Phone:561-333-9331
Mailing Address - Fax:561-792-2918
Practice Address - Street 1:1021 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-5117
Practice Address - Country:US
Practice Address - Phone:561-333-9331
Practice Address - Fax:561-792-2918
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67971207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL378825300Medicaid
FL27960OtherDR SHECTER'S BCBS FL #
FL27960DMedicare ID - Type UnspecifiedDR SHECTER'S MEDICARE #
FL378825300Medicaid