Individual
MRS. SHALONDA MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1935 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4708
(954) 458-2112
Mailing address
1935 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4708
(954) 458-2112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5136
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110978900
—
FL
Enumeration date
09/15/2015
Last updated
06/19/2024
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