Individual
SHELLY L. CHVOTZKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
16271 BASS RD, FORT MYERS, FL 33908-3616
(239) 343-7100
(239) 343-7190
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-1449
(239) 424-1421
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MB08188500
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
OS11839
FL
Other
Enumeration date
07/03/2007
Last updated
04/22/2015
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