Search › Florida › 261QD1600X
Shirley Temple
NPI 1245872092 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1505 Spitz Ct
Brandon, FL 33511 - Phone
- (813) 952-6865
- Fax
- (888) 870-9630
Registry record
- Primary taxonomy
- 261QD1600X
261QD1600X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-14
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