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
Phone: (904) 997-3800
Fax: (904) 997-3899
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659506319 | NPPES |
Florida | MEDICAID | 014413900 | |
Florida | Other | 14ZM4 |
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