Individual
SHELBY LYNN WILBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S ANDREWS AVE, SUITE 323 WEST WING, FORT LAUDERDALE, FL 33316-2510
(954) 355-5110
(954) 355-4919
Mailing address
1600 S ANDREWS AVE, SUITE 323 WEST WING, FORT LAUDERDALE, FL 33316-2510
(954) 355-5110
(954) 355-4919
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
016025
ME
207VX0000X
Obstetrics Physician
ME106484
FL
Other
Enumeration date
11/29/2006
Last updated
03/02/2010
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