Individual
EDDY SHANE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
300 HEALTH PARK BLVD STE 4000, ST AUGUSTINE, FL 32086-3704
(904) 824-8666
(904) 824-8933
Mailing address
1154 EARLYLIGHT CT, JACKSONVILLE, FL 32218
(904) 305-7492
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9247428
FL
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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