Individual
SHIRLEY LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 3RD ST NW STE 203, WINTER HAVEN, FL 33881-4638
(863) 449-3963
Mailing address
65 3RD ST NW STE 203, WINTER HAVEN, FL 33881-4638
(863) 449-3963
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
FL
246RP1900X
Phlebotomy Technician
23-1405
FL
Other
Enumeration date
08/15/2023
Last updated
08/23/2023
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