Shirley Hartman, MD, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SHIRLEY HARTMAN, MD, PA

Doing business as

Mandarin Wellness Center

Practice address

9283 San Jose Blvd
B-2 S1
Jacksonville, FL 32257-5584

Phone

(904) 268-5826

Fax

(904) 268-5873

NPI assigned

May 9, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shirley Joanne Hartman, M.D.

Title

President

Phone

(904) 268-5826

Specialties & licenses 1

Addresses

Other names 1

• Mandarin Wellness Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1558717595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9283 SAN JOSE BLVD",
            "address_2": "B-2 S1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575584",
            "telephone_number": "904-268-5826",
            "fax_number": "904-268-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9283 SAN JOSE BLVD",
            "address_2": "B-2 S1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575584",
            "telephone_number": "904-268-5826",
            "fax_number": "904-268-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY HARTMAN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-268-5826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mandarin Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dror Shir, MD
• Ehsan Shirazi, MD
• David Wayne Shirey Jr., PT, DPT
• Shirley & Associates Chartered
• Shirley & Associates Chartered Inc.
• Shirley Wilson Heavenly Healthcare
• Edisa Shirley, PHD, LMHC
• Kaleena Shirley, PA-C
• Steve Shirley, MD
• Tanya Rene Shirley, RDH

• Primary Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.