| J. David Shore, P.a. | |
|
2431 University Blvd W, Jacksonville, FL 32217-2037 | |
| (904) 733-8833 | |
| (904) 733-3617 |
| Full Name | J. David Shore, P.a. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2431 University Blvd W, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629387832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH4821 (Florida) | Primary |
| Provider Name | James Shore |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033184189 PECOS PAC ID: 8325234735 Enrollment ID: I20101124000860 |
| Mailing Address | Practice Location Address |
|---|---|
| J. David Shore, P.a. 2431 University Blvd W, Jacksonville, FL 32217-2037 Ph: (904) 733-8833 | J. David Shore, P.a. 2431 University Blvd W, Jacksonville, FL 32217-2037 Ph: (904) 733-8833 |
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