Individual
SHERRY R FAHMI SHENODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
841 PRUDENTIAL DR, SUITE 1330, JACKSONVILLE, FL 32207-8329
(904) 383-1712
Mailing address
841 PRUDENTIAL DR, SUITE 1330, JACKSONVILLE, FL 32207-8329
(904) 383-1712
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME120523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123282-00
—
FL
01
—
1144511437
NPI
FL
Enumeration date
04/21/2011
Last updated
09/14/2016
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