Individual
MRS. SHELBY DURRANCE DEVINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1218 MILLENNIUM PKWY, BRANDON, FL 33511-3895
(813) 684-5255
(813) 654-7457
Mailing address
1218 MILLENNIUM PKWY, BRANDON, FL 33511-3895
(813) 684-5255
(813) 654-7457
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9109642
FL
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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