Individual
LACHER ABRIL SHANAE INGRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
1655 PRUDENTIAL DR UNIT 2333, JACKSONVILLE, FL 32207-8192
(813) 409-4825
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA1143
FL
Other
Enumeration date
08/19/2025
Last updated
09/30/2025
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