Shahla, Amer
Shahla, Amer is an sole proprietor health care provider with primary practice located at 1141 Beach Blvd , Jacksonville Beach FL 32250-3445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shahla, Amer can be contacted via phone (904) 249-3820.Contact Information
Primary practice address
1141 Beach Blvd
Jacksonville Beach FL 32250-3445
Phone: (904) 249-3820
Fax: (904) 249-3390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 70355 | Florida |
Profile Details
| NPI number | 1356339519 |
|---|---|
| LBN Legal business name | Shahla, Amer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Aug 27th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356339519 | NPPES |
| Florida | MEDICAID | 252413900 |
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