Florvella, Shana Camille Kirby

Florvella, Shana Camille Kirby is an individual health care provider with primary practice located at 3515 E Fletcher Ave # Mdc14 , Tampa FL 33613-4702. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Florvella, Shana Camille Kirby can be contacted via phone (813) 974-8900.

Contact Information

Primary practice address
3515 E Fletcher Ave # Mdc14 Tampa FL 33613-4702
Phone: (813) 974-8900
Fax: (813) 974-1131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301098952 Michigan
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME 119309 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME119309 Florida

Profile Details

NPI number 1730467325
LBN Legal business name Florvella, Shana Camille Kirby
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2011
Last updated Jan 5th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730467325 NPPES
Florida Other X345L BLUE CROSS BLUE SHIELD FLORIDA
Florida MEDICAID 017931400 BLUE CROSS BLUE SHIELD FLORIDA

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