Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | OS12610 | FL |
NPI | 1013105121 |
---|---|
Provider Name | Dr. Shirley Chen |
First Address | Jacksonville, FL 32207-8202 |
Second Address | Hollywood, FL 33021-5421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2007 |
Last Update Date | 18/03/2021 |