Search › Florida › 363AS0400X
Shelby Lane, PA-C
NPI 1710230651 · on the registry since 2012
Practice
- Address
- 3319 Ne 15th Ct
Fort Lauderdale, FL 33304 - Phone
- (954) 257-7859
- Fax
- (954) 616-8063
- Organisation at this address
- Oceanside Elite Surgical Assisting, Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 3319 Ne 15th Ct, Fort Lauderdale, FL
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363AM0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-07
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