Provider Demographics
NPI:1013559061
Name:HAMILTON, SHELLY M (APRN)
Entity Type:Individual
Prefix:
First Name:SHELLY
Middle Name:M
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:601 S HARBOUR ISLAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5925
Mailing Address - Country:US
Mailing Address - Phone:727-322-3439
Mailing Address - Fax:800-928-7449
Practice Address - Street 1:1111 NE 25TH AVE STE 301
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-5667
Practice Address - Country:US
Practice Address - Phone:352-351-7000
Practice Address - Fax:352-236-8610
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-10
Last Update Date:2022-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11004505363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner