Organization
SHELLY L. HALL M.D., P.A.
Active
Other names
Island Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLY L. HALL MD (PRESIDENT)
(904) 264-4333
Entity
Organization
Contact information
Practice address
4611 US HIGHWAY 17, SUITE 2, ORANGE PARK, FL 32003-8245
(904) 264-4333
(904) 264-4301
Mailing address
4611 US HIGHWAY 17, SUITE 2, ORANGE PARK, FL 32003-8245
(904) 264-4333
(904) 264-4301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0061916
FL
Other
Enumeration date
06/10/2006
Last updated
08/22/2020
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