OrganizationActive
Shirley a Ice MD PA
NPI 1720249410 · Family Medicine Physician · Dunnellon, FL
Shirley a Ice MD PA is a Family Medicine Physician organization in Dunnellon, FL (NPI 1720249410).
Provider details
- NPI number
- 1720249410
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shirley Ice, President(352) 465-2449
- License
- ME0071113 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19204 E Pennsylvania Ave
Dunnellon, FL 34432-6111
Phone: (352) 465-2449
Fax: (352) 465-2451
Street-level locationGet directions
Mailing address
19204 E Pennsylvania Ave
Dunnellon, FL 34432-6111
Registry dates
- Enumerated
- 2008-06-24
- Last updated
- 2010-11-02
Frequently asked questions
- What is Shirley a Ice MD PA's NPI number?
- Shirley a Ice MD PA's National Provider Identifier (NPI) is 1720249410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shirley a Ice MD PA?
- Shirley a Ice MD PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shirley a Ice MD PA located?
- Shirley a Ice MD PA's practice location on file with NPPES is 19204 E Pennsylvania Ave, Dunnellon, FL 34432-6111.
- What is Shirley a Ice MD PA's phone number?
- The practice phone number listed in the NPPES registry for Shirley a Ice MD PA is (352) 465-2449.
- Who is the authorized official for Shirley a Ice MD PA?
- The authorized official listed on Shirley a Ice MD PA's NPPES record is Shirley Ice, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shirley a Ice MD PA's NPI active?
- Yes — Shirley a Ice MD PA's NPI (1720249410) is active in the NPPES registry as of the last update on 2010-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.