General Practitioners

• Primary Care
  HMO Products (limited)  AARP Medicare, United Healthcare HMO, Aetna HMO, Florida Blue HMO. Please speak to your insurance carrier and make sure Dr. Shields is designated as Primary Care Provider and in network to insure continuity of care. If Dr. Shields is not the PCP (Primary Care Physician) of record, you cannot receive services in our office until he has been designated as PCP.
• Emergency Care
  In case of an emergency situation, please seek immediate medical treatment by calling 911 or going directly to the emergency room. Please ask the Emergency Room Physician to contact Dr. Shields or the Physician on call with your medical status. Our office is electronically equipped to receive this information. Please contact our office for follow-up medical care, after being released from a hospital admission. (normally within 2 or 3 days post release from hospital stay). The Patient Portal is informational only and NEVER to be used for emergencies. Emergencies should always contact 911 directly or go directly to the emergency room.
• Electrocardiogram
• Immunizations

Internists

• Internal Medicine
  Denise Palazzola, MS, ANP-BC brings to our practice over 30 years of Internal Medicine Experience. Denise has her Masters of Science Degree and is an Adult Nurse Practitioner, Board Certified. Denise also has over 22 years experience as a Registered Nurse. Her expertise, knowledge, experience and compassion in Internal Medicine make her a wonderful addition to our practice.