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Shelby Ann Costa, PA
Medical Physician Assistant in Orlando, Florida
NPI 1851966238

Shelby Ann Costa is a Medical Physician Assistant based in Orlando, FL and is specialized in Medical. Shelby Ann Costa practices in Orlando, FL and has the professional credentials of PA. The NPI Number for Shelby Ann Costa is 1851966238 and holds a License No. (Florida).

The current practice location address for Shelby Ann Costa is 1400 S Orange Ave, Orlando, FL and can be reached out via phone at 321-841-1893 and via fax at 321-841-1296.

Location: 1400 S Orange Ave, Orlando, FL, 32806-2134
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Provider Profile Details
NPI Number
1851966238
Provider Name
Shelby Ann Costa
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1400 S Orange Ave, Orlando, FL, 32806-2134
Phone Number
321-841-1893
Fax Number
321-841-1296
Provider Enumeration Date
05/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111898400 05 FL
institution
Provider Business Practice Location Address Details
Address
1400 S Orange Ave
City
State
Zip
32806-2134
Phone Number
321-841-1893
Fax Number
321-841-1296
person
Provider Business Mailing Address Details
Address
1400 S Orange Ave
City
State
Zip
32806-2134
Phone Number
321-841-1893
Fax Number
321-841-1296
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9114837 (Florida)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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