DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. SHELLY LYNN FRADET PA-C

MEDICARE: MRS. SHELLY LYNN FRADET PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA3365FL

General Provider Information

NPI Number : 1962579086
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHELLY LYNN FRADET PA-C
Provider Business Mailing Address
First Line : 1404 S RIDGEWOOD AVE
Second Line :
City : EDGEWATER
State : FL
Zip : 32132-2720
Country : US
Telephone Number : 386-426-8166
Fax Number :
Provider Business Practice Location Address
First Line : 1404 S RIDGEWOOD AVE
Second Line :
City : EDGEWATER
State : FL
Zip : 32132-2720
Country : US
Telephone Number : 386-426-8166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 09/03/2009

Similar Medicare Providers

1205824778 — DR. MARGARET CHANG MD
Practice Location Address:
1404 S RIDGEWOOD AVE
EDGEWATER, FL
32132-2720
Practice Phone: 386-424-5777
Practice Fax: 386-424-7395
1275521759 — DR. PATRICIA FREDETTE-HUFFMAN MD
Practice Location Address:
1404 S RIDGEWOOD AVE
EDGEWATER, FL
32132-2720
Practice Phone: 386-426-8166
Practice Fax: 386-426-6399
1114975596 — SURYA PRAKASH RAO MD
Practice Location Address:
1404 S RIDGEWOOD AVE
EDGEWATER, FL
32132-2720
Practice Phone: 386-258-8722
Practice Fax: 386-265-5928
1275552358 — COASTAL FAMILY PRACTICE LLC
Practice Location Address:
1404 S RIDGEWOOD AVE
EDGEWATER, FL
32132-2720
Practice Phone: 386-426-8166
Practice Fax: 386-426-6399
1548981947 — LEWIS & KLANCKE CARDIOLOGY, P.A.
Practice Location Address:
1404 S RIDGEWOOD AVE
EDGEWATER, FL
32132-2720
Practice Phone: 386-265-5926
Practice Fax: 386-265-5928
1275323453 — KALEY MELVILLE
Practice Location Address:
509 LIVE OAK ST OFC 1
EDGEWATER, FL
32132-1553
Practice Phone: 386-222-3011
Practice Fax:

Directions to “ MRS. SHELLY LYNN FRADET PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.