Individual
CAROL GETKER SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
653 W 8TH ST, JACKSONVILLE, FL 32209
(904) 383-1015
(904) 244-7131
Mailing address
655 W 8TH ST, DEPT OF EMERGENCY MEDICINE, JACKSONVILLE, FL 32209-6511
(904) 244-6340
(904) 244-7131
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
ME136880
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN24294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891258P
—
NC
Enumeration date
06/05/2006
Last updated
07/26/2018
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