Individual
MR. JAMES S SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
212 SAN MARCO AVE, STE C, ST AUGUSTINE, FL 32084-2773
(904) 806-6255
(904) 819-5851
Mailing address
79 COLON AVE, ST AUGUSTINE, FL 32084-1256
(904) 806-6255
(904) 819-5851
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA32571
FL
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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