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Organization
SHANDS LAKE SHORE REGIONAL MEDICAL CENTER
Active
Organization
SHANDS LAKE SHORE REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA SHARROD RN (CEO)
(386) 292-8120
Entity
Organization
Contact information
Practice address
368 NE FRANKLIN ST, LAKE CITY, FL 32055-3088
(386) 292-8120
Mailing address
8947 ABBINGTON DR, PENSACOLA, FL 32534-5347
(843) 860-0005
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
ME112455
FL
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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