STEPHEN CHANNING SHORTLIDGE

FORT MYERS, FL
NPI1962481234
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS4566)
Enumeration Date2006-01-13
Last Update Date2016-01-19
Business Address
-- STEPHEN CHANNING SHORTLIDGE D.O.
8960 COLONIAL CENTER DR SUITE 300
FORT MYERS, FL 33905-7810
Phone number: 239-343-9470
Mailing Address
-- STEPHEN CHANNING SHORTLIDGE D.O.
P.O. BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-424-1449
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