SHORES MEDICAL PA NPI 1023114527

NPI Information

SHORES MEDICAL PA is a family medicine in Edgewater, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHORES MEDICAL PA NPI is 1023114527. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

346 N RIDGEWOOD AVE
EDGEWATER, FL
ZIP 32132-671
Phone: (386) 423-1888
Fax: (386) 423-2030

The provider's authorized official is Susan Hole .
The authorized official title is Administrator and has the following contact phone number (386) 423-1888.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 7/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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