Organization
SHELTON MEDICAL SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETELL KAMANEL (PRESIDENT)
(786) 801-0218
Entity
Organization
Contact information
Practice address
3525 NW 7TH ST, MIAMI, FL 33125-4015
(786) 801-0218
(786) 353-9125
Mailing address
3525 NW 7TH ST, MIAMI, FL 33125-4015
(786) 801-0218
(786) 353-9125
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
HCC10414
FL
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
01/17/2018
Last updated
07/07/2020
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