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Individual

DR. FAYE D BARCLAY-SHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3759 PLEASANT HILL RD, KISSIMMEE, FL 34746
(863) 419-2723
Mailing address
6520 FORT CAROLINE RD, JACKSONVILLE, FL 32277-2044
(904) 745-3618
(904) 722-4271

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01037774A
IN
208000000X
Pediatrics Physician
ME106372
FL
208D00000X
General Practice Physician
Primary
ME106372
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01037774A
INDIANA LICENSE
IN
01
01037774B
CSR
IN
Enumeration date
05/23/2006
Last updated
03/07/2023
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