Individual
DR. JEFFREY MICHAEL SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0077
Mailing address
9006 NW 9TH LN, GAINESVILLE, FL 32606-7113
(352) 514-8081
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME96836
FL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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