Individual
ELLY SHAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7614 JACQUE RD STE A, HUDSON, FL 34667-7195
(727) 862-8548
Mailing address
401 N FAIRVIEW ST, LOCK HAVEN, PA 17745-2342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9120357
FL
Other
Enumeration date
07/08/2025
Last updated
10/01/2025
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