MRS. Shelly Lynn Fradet, PA-C

NPI #1962579086 in Edgewater, Florida

Provider Information

NPI Number: 1962579086
Entity Type: Individual
Name: MRS. Shelly Lynn Fradet, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 30, 2006
Last Updated: Sep 3, 2009

Practice Location

Address: 1404 S RIDGEWOOD AVE
City: Edgewater
State: Florida
ZIP Code: 32132-2720
Phone: (386) 426-8166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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