Provider Demographics
NPI:1861551384
Name:SHELL MEDICAL SERVICES INC
Entity type:Organization
Organization Name:SHELL MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-649-7025
Mailing Address - Street 1:1701 W FLAGLER ST
Mailing Address - Street 2:323
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2098
Mailing Address - Country:US
Mailing Address - Phone:305-649-7025
Mailing Address - Fax:305-649-7065
Practice Address - Street 1:1701 W FLAGLER ST
Practice Address - Street 2:323
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2098
Practice Address - Country:US
Practice Address - Phone:305-649-7025
Practice Address - Fax:305-649-7065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherEIN