Fuentes, Shelby

Fuentes, Shelby is an sole proprietor health care provider with primary practice located at 11705 San Jose Blvd Ste 111 , Jacksonville FL 32223-1653. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Fuentes, Shelby can be contacted via phone (904) 345-7450.

Contact Information

Primary practice address
11705 San Jose Blvd Ste 111 Jacksonville FL 32223-1653
Phone: (904) 345-7450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9654 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1386162 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X 041958-1 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 37408 Florida

Profile Details

NPI number 1457879371
LBN Legal business name Fuentes, Shelby
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2017
Last updated Nov 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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