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Shirley J Hom, PAC
Surgical Physician Assistant in Orlando, Florida
NPI 1972598860

Shirley J Hom is a Surgical Physician Assistant based in Wayne, FL and is specialized in Surgical. Shirley J Hom practices in Orlando, FL and has the professional credentials of PAC. The NPI Number for Shirley J Hom is 1972598860 and holds a License No. PA9102291 (Florida).

The current practice location address for Shirley J Hom is 4215 Edgewater Dr, Orlando, FL and can be reached out via phone at 407-539-2000 and via fax at 407-398-0050. You can also correspond with Shirley J Hom through the mailing address at PO BOX 4059, WAYNE, NJ - 07474-4059 (mailing address contact number: 973-826-8291).

Location: 4215 Edgewater Dr, Orlando, FL, 07474-4059
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Provider Profile Details
NPI Number
1972598860
Provider Name
Shirley J Hom
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
4215 Edgewater Dr, Orlando, FL, 07474-4059
Phone Number
407-539-2000
Fax Number
407-398-0050
Provider Enumeration Date
09/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E8990G 01 FL MEDICARE GROUP PTAN
291475100 05 FL
institution
Provider Business Practice Location Address Details
Address
4215 Edgewater Dr
City
State
Zip
32804-2206
Phone Number
407-539-2000
Fax Number
407-398-0050
person
Provider Business Mailing Address Details
Address
4215 Edgewater Dr
City
State
Zip
32804-2206
Phone Number
407-539-2000
Fax Number
407-398-0050
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9102291 (Florida)
Definition
Definition to come...
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