Individual
MISS SHIRLEY BATTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20021 NW 39TH CT, MIAMI GARDENS, FL 33055-1320
(305) 628-1497
Mailing address
20021 NW 39TH CT, MIAMI GARDENS, FL 33055-1320
(305) 628-1497
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
NTF0807-1148-93
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300207100
—
FL
Enumeration date
05/15/2008
Last updated
05/15/2008
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