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Individual

AMANDA LAURAMORE SHEARER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME105885
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003699700
FL
Enumeration date
08/06/2008
Last updated
01/23/2024
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