Shelby A Lane (NPI# 1710230651, PAC ID# 0244480291) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1710230651 |
PAC ID by PECOS | 0244480291 |
Professional Enrollment ID | I20121029000093 |
Full Name | Shelby A Lane |
Address |
3319 Ne 15th Ct Ft Lauderdale FL 33304-1709 |
Gender | F |
Graduation Year | 2012 |
Primary Specialty | PHYSICIAN ASSISTANT |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100086 | BROWARD HEALTH NORTH |
Address | Phone | Organization |
---|---|---|
3319 Ne 15th Ct, Ft Lauderdale, FL 33304-1709 |
Street Address |
3319 NE 15TH CT |
City | FT LAUDERDALE |
State | FL |
Zip | 33304-1709 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charles H Richard | Family Practice | 1528 Ne4th Ave, Fort Lauderdale, FL 33304-1036 | |
Parker A Martin | Qualified Speech Language Pathologist | 1456 Ne 5th Ter, Fort Lauderdale, FL 33304-1181 | |
Sharon D Roseman | Clinical Social Worker | 1975 E Sunrise Blvd, Suite 513, Fort Lauderdale, FL 33304-1409 | |
Royce N Jalazo | Clinical Psychologist | Dr Royce Jalazo Pa | 1975 E Sunrise Blvd, Suite 532, Fort Lauderdale, FL 33304-1413 |
Louise Lopez | Psychologist, Clinical | 1760 Ne13th St, Fort Lauderdale, FL 33304-1846 | |
Lisa F Becker | Nurse Practitioner | Archways, Inc | 919 Ne 13th St, Ft Lauderdale, FL 33304-2009 |
Eudaldo Aponte IIi | Nurse Practitioner | Archways, Inc | 919 Ne 13th St, Ft Lauderdale, FL 33304-2009 |
Stephanie Ford | Nurse Practitioner | Archways, Inc | 919 Ne 13th St, Ft Lauderdale, FL 33304-2009 |
Adrian M Trager | Clinical Social Worker | Archways, Inc | 919 Ne 13th St, Ft Lauderdale, FL 33304-2009 |
Allison Susan Slack | Nurse Practitioner | 919 Ne 13th St, Fort Lauderdale, FL 33304-2009 | |
Find all physicians in zip 33304 |
City | FT LAUDERDALE |
Zip Code | 33304 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | FT LAUDERDALE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shelby A Lane.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.