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Individual

COLLEEN O'SHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 451-4036

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016353
NY
363A00000X
Physician Assistant
PA3734
MA
363A00000X
Physician Assistant
Primary
PA9109521
FL

Other

Enumeration date
03/19/2009
Last updated
07/21/2016
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