Individual
DR. SHANEDELLE NORFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 S 35TH ST, FORT PIERCE, FL 34981
(340) 344-6542
Mailing address
2500 S 35TH ST, FORT PIERCE, FL 34981-5573
(340) 344-6542
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
17579
FL
207ZF0201X
Forensic Pathology Physician
Primary
ME130661
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
17579
FL
Other
Enumeration date
09/04/2012
Last updated
08/08/2018
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