SearchFlorida225100000X

Shelby Fuentes, PT, DPT

NPI 1457879371 · on the registry since 2017 · sole proprietor

Practice

Address
11705 San Jose Blvd Ste 111
Jacksonville, FL 32223
Phone
(904) 345-7450
Organisation at this address
Dialysis Clinic Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
225100000X
2251N0400X
Licence states on file
SC, TX, NY, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-30

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