Shugarman, Ilicia Lauren

Shugarman, Ilicia Lauren is an sole proprietor health care provider with primary practice located at 700 3Rd St Ste 302 , Neptune Beach FL 32266-5082. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Shugarman, Ilicia Lauren can be contacted via phone (904) 997-3800.

Contact Information

Primary practice address
700 3Rd St Ste 302 Neptune Beach FL 32266-5082
Fax: (904) 997-3899
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TRN13818 Florida
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME122974 Florida

Profile Details

NPI number 1659506319
LBN Legal business name Shugarman, Ilicia Lauren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2009
Last updated Jan 9th, 2024 - about 8 months 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 1659506319 NPPES
Florida MEDICAID 014413900
Florida Other 14ZM4

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