Fabrizio, Shirley Lynn

Fabrizio, Shirley Lynn is an individual health care provider with primary practice located at 1375 Roberts Dr Suite 103, Jacksonville Beach FL 32250-3210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fabrizio, Shirley Lynn can be contacted via phone (904) 997-3800.

Contact Information

Primary practice address
1375 Roberts Dr Suite 103 Jacksonville Beach FL 32250-3210
Phone: (904) 997-3800
Fax: (904) 997-3899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2212592 Florida

Profile Details

NPI number 1093722647
LBN Legal business name Fabrizio, Shirley Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated May 3rd, 2016 - about 8 years ago

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 1093722647 NPPES
Florida MEDICAID 3089061-00

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