Individual
BARBARA SHIDELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21298 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6705
(941) 627-6128
(941) 764-7071
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
(941) 627-6128
(941) 764-7071
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
04-27150
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
04-27150
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME152373
FL
Other
Enumeration date
02/27/2006
Last updated
06/06/2024
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