National Provider Identifier Database

SHANDS LAKE SHORE REGIONAL MEDICAL CENTER
Children


Contact Information

SHANDS LAKE SHORE REGIONAL MEDICAL CENTER
368 NE FRANKLIN ST
LAKE CITY, FL32055-3088
Phone: 386-292-8120
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for SHANDS LAKE SHORE REGIONAL MEDICAL CENTER

NPI Number 1962758342
Legal business name
LBN
SHANDS LAKE SHORE REGIONAL MEDICAL CENTER
Authorized official RHONDA SHARROD - (CEO)
Entity Organization
Organization subpart No
Enumeration date 08/03/2012
Last updated 08/03/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME112455

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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