Whalio Doctors

NPI 1023097623

Elana L Shackelford, ARNP

Practitioner Dermatology Physician Orlando, FL

Practice location

Address
1111 S. Orange Ave 4th Floor, Orlando, FL 32806
Phone
(407) 992-0660
Fax
(407) 992-7702

Registered specialties (2)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence ME89879 (FL)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence ARNP9203677 (FL)

Registry record

NPI
1023097623
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Jan 2006
Record last updated
12 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.