Individual
SHELLY FENTON-ZEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, FLORIDA HOSPITAL PEDIATRIC HOSPITALISTS, ORLANDO, FL 32803-1248
(407) 975-0412
(407) 975-0413
Mailing address
1801 LEE RD STE 165, WINTER PARK, FL 32789-2127
(407) 975-0412
(407) 975-0413
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
211033
NY
208000000X
Pediatrics Physician
Primary
ME129378
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01971517
—
NY
Enumeration date
01/24/2006
Last updated
03/08/2017
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