Individual
AMANDA LEE SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14534 OLD SAINT AUGUSTINE RD STE 3210, JACKSONVILLE, FL 32258-2645
(904) 675-4000
(904) 675-4007
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-13127
NC
363A00000X
Physician Assistant
Primary
PA9116456
FL
Other
Enumeration date
03/23/2022
Last updated
06/22/2026
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