Individual
MICHELLE SHABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3661 S BABCOCK ST, 2ND FLOOR, MELBOURNE, FL 32901-8205
(321) 434-7611
(321) 727-3738
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-7611
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN131609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008990900
—
FL
01
—
HG280Y
MEDICARE
FL
Enumeration date
09/19/2005
Last updated
07/25/2024
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