Codada, Shirley N

Codada, Shirley N is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-4595. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Codada, Shirley N can be contacted via phone (352) 265-0655.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-4595
Phone: (352) 265-0655
Fax: (352) 265-1107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME73373 Florida
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X ME73373 Florida

Profile Details

NPI number 1962466870
LBN Legal business name Codada, Shirley N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Mar 13th, 2024 - about 9 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962466870 NPPES
Florida Other 49995 BCBS
Florida MEDICAID 106635800 BCBS

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