Individual
SHANE ANTHONY BOBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME144535
FL
207RN0300X
Nephrology Physician
U3482
TX
Other
Enumeration date
04/01/2014
Last updated
04/06/2026
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