RYAN THOMAS SHORES

JACKSONVILLE, FL
NPI1417170978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP9189425)
Enumeration Date2007-04-11
Last Update Date2015-03-20
Business Address
-- RYAN THOMAS SHORES CRNA
655 W 8TH ST UFJAX - ANESTHESIOLOGY DEPT.
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-4195
Mailing Address
-- RYAN THOMAS SHORES CRNA
PO BOX 44008 UFJP - PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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