Shahla, Sean

Shahla, Sean 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, Sean 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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0071346 Florida

Profile Details

NPI number 1801884119
LBN Legal business name Shahla, Sean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Jun 22nd, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801884119 NPPES
Florida MEDICAID 252412100

Popular Providers