Individual ProviderSteve ShirleyRadiologyAllopathic & Osteopathic PhysiciansPractice Address3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252(904) 399-5550PECOS EnrollmentBased on the most recent information from CMS, provider Steve Shirley does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1487614111Provider TypeIndividualFull NameShirley, SteveCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/25/2006Last Updated8/22/2017Contact InformationPractice LocationPractice Address3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252Phone(904) 399-5550Fax(904) 346-4334Mailing LocationMailing Address3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252Phone(904) 399-5550Fax(904) 346-4334Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseME39237FloridaCode2085R0204XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseME39237FloridaProvider IdentifiersIDDescriptionIssuerID047833400DescriptionMedicaidIssuerUnlistedFloridaID00356276ADescriptionMedicaidIssuerUnlistedGeorgiaID15754DescriptionOtherIssuerBCBSFlorida