Individual
DR. SHELLY ANNE BIRCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4100
(386) 258-4875
Mailing address
3244 RIVERVIEW LN, PORT ORANGE, FL 32127-6269
(847) 975-1298
(386) 226-4577
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME141349
FL
Other
Enumeration date
05/16/2016
Last updated
03/18/2026
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