Shelby Lynn Wilbourn M.D.

NPI 1770650764 - Obstetrics & Gynecology - 207VX0000X

NPI Details
NPI 1770650764
Gender Male
Enumeration Date 11/29/2006
Last Updated 03/02/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1600 S ANDREWS AVE
SUITE 323 WEST WING
FORT LAUDERDALE FL, 33316-2510, US
Phone (954) 355-5110
Fax (954) 355-4919
Business Location
1600 S ANDREWS AVE
SUITE 323 WEST WING
FORT LAUDERDALE FL, 33316-2510, US
Phone (954) 355-5110
Fax (954) 355-4919
Toxanomy
Taxonomy Code 207VX0000X
License State Florida
License Number ME106484
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According to our database, Shelby Lynn Wilbourn M.D. NPI is 1770650764, taxonomy code is 207VX0000X and license number is ME106484, license state is located at Florida. Shelby Lynn Wilbourn M.D. physically located at 1600 S Andrews Ave, Fort Lauderdale FL, 33316-2510. NPI Number Shelby Lynn Wilbourn M.D. has the Individual type.

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1770650764 NPI number is provided on an as is basis without warranty of any kind. 1770650764 is maintained by the National Plan & Provider Enumeration System. The contents of Shelby Lynn Wilbourn M.D. are for informational purposes only.