Organization
PARADISE COAST BREAST SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TROY SHELL MD (OWNER)
(239) 734-3533
Entity
Organization
Contact information
Practice address
7955 AIRPORT RD N STE 100, NAPLES, FL 34109-1794
(239) 734-3533
Mailing address
7955 AIRPORT RD N STE 100, NAPLES, FL 34109-1794
(239) 734-3533
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME123757
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME123757
MEDICAL LICENSE
FL
Enumeration date
08/29/2018
Last updated
09/28/2020
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