Individual
MRS. DOROTHY SHAWN CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10080 SW INNOVATION WAY, PORT SAINT LUCIE, FL 34987-2127
(772) 285-8622
Mailing address
10050 SW INNOVATION WAY STE 102, PORT SAINT LUCIE, FL 34987-2117
(772) 344-3811
(772) 335-2422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9115906
FL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/27/2021
Last updated
04/12/2024
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