Individual
DR. SHIRLEY N CODADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-4595
(352) 265-0655
(352) 265-1107
Mailing address
PO BOX 100277, GAINESVILLE, FL 32610-0277
(352) 265-0655
(352) 265-1107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME73373
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME73373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106635800
—
FL
01
—
49995
BCBS
FL
Enumeration date
04/17/2006
Last updated
03/13/2024
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