Individual
DARRELL ANTHONY SHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA
Contact information
Practice address
435 S RIDGEWOOD AVE # 118, DAYTONA BEACH, FL 32114-4927
(386) 319-4734
(386) 200-6293
Mailing address
435 S RIDGEWOOD AVE # 118, DAYTONA BEACH, FL 32114-4927
(386) 319-4734
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/14/2014
Last updated
10/17/2019
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