Dr. Carmen Anita Shirley, MD
Family Medicine, Adolescent Medicine in Jupiter, FL. Individual provider (NPI-1).
NPI number1821157504
StatusActive
Last updated in NPPESNov 10, 2020
Details
- NPI
- 1821157504
- Entity type
- Individual (NPI-1)
- Name
- Dr. Carmen Anita Shirley
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2006
- Certification date
- Nov 10, 2020
- Last updated
- Nov 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0000X | Family Medicine, Adolescent Medicine | ME67429 | FL | Yes |
Practice location
110 Front St Fl 6Jupiter, FL 33477-5095
Phone 210-495-0224 · Fax 210-247-9326
Mailing address
110 Front St Fl 6Jupiter, FL 33477-5095
Phone 210-495-0224 · Fax 210-247-9326
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