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General NPI Number Information
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NPI Number | 1922487974
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Entity Type | Organization
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Legal Business Name | SHEMAKA JAMES
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 05/22/2015
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Provider Practice Location Address
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Address Line | 5202 WABASH BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32254-1366
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Country | US
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Telephone | 904-469-4150
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Fax |
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Provider Business Mailing Address
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Address Line | 5202 WABASH BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32254-1366
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RESPIRATORY THERAPIST
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Name | MS. SHEMAKA A JAMES
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Credential | RT
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Telephone | 904-469-4150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | RT10949
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License Number State | FL
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