Individual
NEDA SHAHOORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1563 KINGSLEY AVENUE, SUITE 106, ORANGE PARK, FL 32073
(904) 272-6161
(904) 389-5332
Mailing address
2 SHIRCLIFF WAY, SUITE 700 DEPAUL BLDG., JACKONVILLE, FL 32204
(904) 389-5333
(904) 389-5332
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME155032
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114159600
—
FL
Enumeration date
03/22/2017
Last updated
08/25/2022
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