# SHELTON MEDICAL SERVICES,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730697327
- **Authorized official:** GRETELL KAMANEL (PRESIDENT)
- **Authorized official phone:** (786) 801-0218

## Contact information

- **Practice address:** 3525 NW 7TH ST, MIAMI, FL 33125-4015
- **Practice address phone:** (786) 801-0218
- **Practice address fax:** (786) 353-9125
- **Mailing address:** 3525 NW 7TH ST, MIAMI, FL 33125-4015
- **Mailing address phone:** (786) 801-0218
- **Mailing address fax:** (786) 353-9125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | HCC10414 | FL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 01/17/2018
- **Last updated:** 07/07/2020