EDDY SHANE THOMAS

ST AUGUSTINE, FL
NPI1609326537
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: FL  ARNP9247428)
Enumeration Date2016-10-04
Last Update Date2016-10-04
Business Address
-- EDDY SHANE THOMAS ARNP
300 HEALTH PARK BLVD STE 4000
ST AUGUSTINE, FL 32086-3704
Phone number: 904-824-8666
Mailing Address
-- EDDY SHANE THOMAS ARNP
1154 EARLYLIGHT CT
JACKSONVILLE, FL 32218
Phone number: 904-305-7492
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