Individual
SHANTEL HEBERT-MAGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, DEPT OF PATHOLOGY, ORLANDO, FL 32803-1248
(407) 303-7683
Mailing address
601 E ROLLINS ST, DEPT OF PATHOLOGY, ORLANDO, FL 32803-1248
(407) 303-7683
(205) 297-9411
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME116368
FL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
29610
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051117063
BCBS
AL
01
—
051117064
BCBS
AL
01
—
051117065
BCBS
AL
05
—
09207858
—
MS
05
—
128941
—
AL
05
—
128944
—
AL
05
—
128946
—
AL
Enumeration date
03/10/2009
Last updated
12/06/2017
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