Search › Florida › 104100000X
Shanell Phillip
NPI 1235769779 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2095 Winnetka Ct
Orlando, FL 32818 - Phone
- (321) 558-5491
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida