Individual
SHARON LEE FRITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
1260 BEACH BLVD, JACKSONVILLE BEACH, FL 32250-3406
(904) 853-6996
(904) 853-6934
Mailing address
1260 BEACH BLVD, JACKSONVILLE BEACH, FL 32250-3406
(904) 853-6996
(904) 853-6934
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN 2733412
FL
363A00000X
Physician Assistant
PA 9104592
FL
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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