Individual
SHELLY BADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
716 S GOLDENROD RD, ORLANDO, FL 32822-8108
(407) 658-1719
Mailing address
716 S GOLDENROD RD, ORLANDO, FL 32822-8108
(407) 658-1719
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
99273
FL
Other
Enumeration date
05/02/2007
Last updated
12/01/2009
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