Individual
DR. CARMEN ANITA SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 FRONT ST FL 6, JUPITER, FL 33477-5095
(210) 495-0224
(210) 247-9326
Mailing address
110 FRONT ST FL 6, JUPITER, FL 33477-5095
(210) 495-0224
(210) 247-9326
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
ME67429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251742600
—
FL
Enumeration date
12/08/2006
Last updated
11/10/2020
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