Individual
EDNA SHIFTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-5302
Mailing address
PO BOX 409041, ATLANTA, GA 30384-9041
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115883
FL
Other
Enumeration date
09/15/2006
Last updated
09/10/2024
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