Individual
SHALAMAR MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 LIBERTY TREE PL, JACKSONVILLE, FL 32221-2129
(904) 520-8894
Mailing address
1717 LIBERTY TREE PL, JACKSONVILLE, FL 32221-2129
(904) 520-8894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9386698
FL
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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