Blank, Shelby Larue

Blank, Shelby Larue is an individual health care provider with primary practice located at 1401 Centerville Rd Ste G02 , Tallahassee FL 32308-4638. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Blank, Shelby Larue can be contacted via phone (850) 431-2100.

Contact Information

Primary practice address
1401 Centerville Rd Ste G02 Tallahassee FL 32308-4638
Fax: (850) 431-2199
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME95568 Florida

Profile Details

NPI number 1447299979
LBN Legal business name Blank, Shelby Larue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 29th, 2018 - about 6 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