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Individual

SHAPARIS DENMARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5868 LENOX AVE, JACKSONVILLE, FL 32205-6381
(904) 347-0677
Mailing address
136 CREEKMORE DR, ST AUGUSTINE, FL 32092-3252
(904) 347-0677

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FL

Other

Enumeration date
03/12/2026
Last updated
03/12/2026
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