Shelly Lynn Fradet in Edgewater - Physician Assistant
Shelly Lynn Fradet - NPI 1962579086
Shelly Lynn Fradet is a Physician Assistant in Edgewater, Florida. Shelly Lynn Fradet practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shelly Lynn Fradet is 1962579086. The last update date is 2009-09-03.
Shelly Lynn Fradet's current location address is 1404 S Ridgewood Ave, Edgewater, Florida. You can contact this provider via phone number 3864268166. The mailing address for Shelly Lynn Fradet is 1404 S Ridgewood Ave, Edgewater, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shelly Lynn Fradet |
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Address | 1404 S Ridgewood Ave, Edgewater, Florida |
Phone Number | 3864268166 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1962579086 |
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Provider Enumeration Date | 2006-11-30 |
Last Updated Date | 2009-09-03 |
Provider Mailing Address Detail
Address | 1404 S Ridgewood Ave |
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City | Edgewater |
State | Florida (FL) |
Post Code | 321322720 |
Phone Number | 3864268166 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA3365 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Shelly Lynn Fradet by the Centers for Medicare & Medicaid Services?
The Shelly Lynn Fradet has been issued the NPI (National Provider Identifier) 1962579086 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Shelly Lynn Fradet is physically located?
The Shelly Lynn Fradet is physically situated at the following address: 1404 S Ridgewood Ave, Edgewater, FL, 321322720.
What is Shelly Lynn Fradet's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shelly Lynn Fradet is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did Shelly Lynn Fradet receive its 1962579086 assignment?
The Shelly Lynn Fradet was assigned its 1962579086 on 2006-11-30, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Shelly Lynn Fradet, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shelly Lynn Fradet, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-09-03.