Individual
AMER SHAHLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1141 BEACH BLVD, JACKSONVILLE BEACH, FL 32250-3445
(904) 249-3820
(904) 249-3390
Mailing address
1141 BEACH BLVD, JACKSONVILLE BEACH, FL 32250-3445
(904) 249-3820
(904) 249-3390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252413900
—
FL
Enumeration date
10/12/2005
Last updated
08/27/2011
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