Hom, Shirley J

Hom, Shirley J is an individual health care provider with primary practice located at 1400 S Orange Ave , Orlando FL 32806-2134. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Hom, Shirley J can be contacted via phone (321) 843-8010.

Contact Information

Primary practice address
1400 S Orange Ave Orlando FL 32806-2134
Phone: (321) 843-8010
Fax: (321) 843-6330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102291 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102291 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9102291 Florida

Profile Details

NPI number 1972598860
LBN Legal business name Hom, Shirley J
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jul 19th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972598860 NPPES
Florida Other E8990G MEDICARE GROUP PTAN
Florida MEDICAID 291475100 MEDICARE GROUP PTAN

Popular Providers