Individual ProviderMichael Roy ShookInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address375 NW 51 St, Boca Raton, FL 33431(561) 997-8111(800) 427-1902PECOS EnrollmentBased on the most recent information from CMS, provider Michael Roy Shook 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 ID1760586044Provider TypeIndividualFull NameShook, Michael RoyCredentialMDGenderMaleSole ProprietorNoEnumeration Date9/8/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address375 NW 51 St, Boca Raton, FL 33431Phone(561) 997-8111Fax(561) 995-0109Mailing LocationMailing Address8016 Mizner Ln, Boca Raton, FL 33433-1134Phone(800) 427-1902Fax(561) 883-6071Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME50883FloridaProvider IdentifiersIDDescriptionIssuerID03834DescriptionOtherIssuerBLUE SHIELDFloridaIDP00011966DescriptionOtherIssuerRR MEDICAREFloridaIDP00011967DescriptionOtherIssuerRR MEDICAREFlorida