Individual
SHELBY LARUE BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 CENTERVILLE RD STE G02, TALLAHASSEE, FL 32308-4638
(850) 431-2100
(850) 431-2199
Mailing address
1401 CENTERVILLE RD STE G02, TALLAHASSEE, FL 32308-4638
(850) 431-2100
(850) 431-2199
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME95568
FL
Other
Enumeration date
06/06/2006
Last updated
03/29/2018
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