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DARRAH RENEE SHIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
596 COURTLAND BLVD, DELTONA, FL 32738-8902
(407) 249-1234
Mailing address
510 VENETIAN VILLA DR, NEW SMYRNA BEACH, FL 32168-5348
(904) 716-1574

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME150685
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/29/2018
Last updated
06/29/2021
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