Aghamalian, Shealy

Aghamalian, Shealy is an sole proprietor health care provider with primary practice located at 841 Prudential Dr Ste 1900 , Jacksonville FL 32207-8373. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Aghamalian, Shealy can be contacted via phone (904) 633-0926.

Contact Information

Primary practice address
841 Prudential Dr Ste 1900 Jacksonville FL 32207-8373
Phone: (904) 633-0926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 9107598 Florida

Profile Details

NPI number 1750706545
LBN Legal business name Aghamalian, Shealy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2014
Last updated Feb 9th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750706545 NPPES
Florida MEDICAID 010876900

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