Individual
PAUL DAVID SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 PARK AVE, SUITE 203, ORANGE PARK, FL 32073-5571
(904) 634-0640
(904) 634-0203
Mailing address
6500 BOWDEN RD, SUITE 103, JACKSONVILLE, FL 32216-8070
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
038960
GA
207X00000X
Orthopaedic Surgery Physician
ME 21555
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME21555
FL
Other
Enumeration date
02/24/2006
Last updated
03/25/2015
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