Dr Andrea Ellen Clark Shah, MD | |
14810 Old Saint Augustine Rd Ste 106, Jacksonville, FL 32258-2558 | |
(904) 268-7701 | |
(904) 268-9708 |
Full Name | Dr Andrea Ellen Clark Shah |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 14810 Old Saint Augustine Rd Ste 106, Jacksonville, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487987491 | NPI | - | NPPES |
008434500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME91797 (Florida) | Primary |
Mailing Address | Practice Location Address |
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Dr Andrea Ellen Clark Shah, MD Po Box 45443, Salt Lake City, UT 84145-0443 Ph: (904) 202-1032 | Dr Andrea Ellen Clark Shah, MD 14810 Old Saint Augustine Rd Ste 106, Jacksonville, FL 32258-2558 Ph: (904) 268-7701 |
Dr. Maryam Ooja Abubakar, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3508 | |
Dr. Mohamad Alasad Tolaymat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr, Ufjp Pediatric Multi-specialty Clinic, Jacksonville, FL 32207 Phone: 904-633-0920 Fax: 904-633-0921 | |
Christopher Emanuel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3945 San Jose Park Dr, Jacksonville, FL 32217 Phone: 904-731-3530 Fax: 904-737-1548 | |
Bridget Sharrar, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223 Phone: 904-288-8910 Fax: 904-288-8912 | |
Kelly Marie Summers, ARNP Pediatrics Medicare: Medicare Enrolled Practice Location: 807 Childrens Way, Jacksonville, FL 32207 Phone: 904-697-3600 | |
Yekaterina Jones, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 841 Prudential Dr Ste 1130, Jacksonville, FL 32207 Phone: 904-633-4199 Fax: 904-633-4188 | |
Dr. Ronald P Carzoli Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1800 Barrs St, St Vincent's Medical Center, Jacksonville, FL 32204 Phone: 904-308-7994 |