Individual
DR. SHELBY H CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 WHITEHALL DR STE 108, ST AUGUSTINE, FL 32086-5268
(904) 686-4003
Mailing address
101 WHITEHALL DR STE 108, ST AUGUSTINE, FL 32086-5268
(904) 615-1794
(904) 341-5552
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME95361
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME95361
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276485700
—
FL
Enumeration date
12/20/2006
Last updated
10/23/2024
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