Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shirley a Ice MD PA

Organization Family Medicine Physician · NPI 1720249410

Shirley a Ice MD PA provides Family Medicine Physician services in Dunnellon, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19204 E Pennsylvania Ave
Dunnellon, FL 34432-6111 Not confirmed with CMS for 15 years — call before visiting
Phone: (352) 465-2449
Fax: (352) 465-2451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME0071113 (FL)

Record details

NPI number1720249410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shirley Ice — President · (352) 465-2449
NPI enumeratedJune 24, 2008
Last updated in NPPESNovember 2, 2010
Mailing address19204 E Pennsylvania Ave, Dunnellon, FL 34432-6111

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