Individual provider · Type 1 NPI

Shirley J. Hom, PA C

Medical Physician Assistant · Orlando, FL

NPI number 1972598860 Active

Practice location

1400 S Orange Ave
Orlando, FL 32806-2134

Call (321) 843-8010 Map

Fax (321) 843-6330

Other practice locations

  • 4215 Edgewater Dr, Orlando, FL 32804-2206 · (407) 539-2000
  • 601 E Rollins St, Orlando, FL 32803-1248 · (407) 609-0095

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9102291 (FL)
Surgical Physician Assistant 363AS0400XPA9102291 (FL)
Medical Physician Assistant Primary 363AM0700XPA9102291 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1972598860

Shirley J. Hom, PA C's National Provider Identifier is 1972598860, issued on Sep 16, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orlando, FL. The record was last updated on Jul 19, 2024.