Individual
SHELLEY LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6047 KIMBERLY BLVD STE F, NORTH LAUDERDALE, FL 33068-2819
(954) 910-5458
Mailing address
710 N LAUDERDALE AVE APT 6B, NORTH LAUDERDALE, FL 33068-2040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Enumeration date
09/24/2025
Last updated
10/24/2025
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