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Organization
SHORES MEDICAL PA
Active
Organization
SHORES MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN HOLE D.O. (ADMINISTRATOR)
(386) 423-1888
Entity
Organization
Contact information
Practice address
346 N RIDGEWOOD AVE, EDGEWATER, FL 32132-1671
(386) 423-1888
(386) 423-2030
Mailing address
346 N RIDGEWOOD AVE, SUITE A, EDGEWATER, FL 32132-1671
(386) 423-1888
(386) 423-2030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Enumeration date
09/15/2006
Last updated
07/21/2022
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