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Organization

SHANDS LAKE SHORE REGIONAL MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RHONDA SHARROD RN (CEO)
(386) 292-8120
Entity
Organization

Contact information

Practice address
368 NE FRANKLIN ST, LAKE CITY, FL 32055-3088
(386) 292-8120
Mailing address
8947 ABBINGTON DR, PENSACOLA, FL 32534-5347
(843) 860-0005

Taxonomy

Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
ME112455
FL

Other

Enumeration date
08/03/2012
Last updated
08/03/2012
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