Shackelford, Elana L

Shackelford, Elana L is an individual health care provider with primary practice located at 1111 S. Orange Ave 4Th Floor, Orlando FL 32806. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Shackelford, Elana L can be contacted via phone (407) 992-0660.

Contact Information

Primary practice address
1111 S. Orange Ave 4Th Floor Orlando FL 32806
Phone: (407) 992-0660
Fax: (407) 992-7702
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ARNP9203677 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME89879 Florida

Profile Details

NPI number 1023097623
LBN Legal business name Shackelford, Elana L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jan 12th, 2009 - about 17 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

Popular Providers