Michael Shockley is a student in an organized health care education training program in Kissimmee, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Michael Shockley NPI is 1467826362. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
720 W OAK ST STE 201
KISSIMMEE, FL
ZIP 34741-998
Phone: (407) 518-2702
Fax: (407) 518-3923
The enumeration date for this NPI number is 11/16/2015 and was last updated on 3/21/2019.