DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SUSANA SHIH

MEDICARE: SUSANA SHIH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1386586642
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANA SHIH
Provider Business Mailing Address
First Line : 2627 RIVERSIDE AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4717
Country : US
Telephone Number : 904-308-7372
Fax Number : 904-308-6909
Provider Business Practice Location Address
First Line : 2627 RIVERSIDE AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4717
Country : US
Telephone Number : 904-308-7372
Fax Number : 904-308-6909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

Similar Medicare Providers

1427992114 — DR. ANTONIO MIGUEL SAAVEDRA DO
Practice Location Address:
2627 RIVERSIDE AVE
JACKSONVILLE, FL
32204-4717
Practice Phone: 904-308-7372
Practice Fax:
1740124338 — DR. ANTHONY WILLIAM KEMMER DO
Practice Location Address:
2627 RIVERSIDE AVE
JACKSONVILLE, FL
32204-4717
Practice Phone: 904-308-7372
Practice Fax:
1659213916 — KASIDY DALE CARSON DO
Practice Location Address:
2627 RIVERSIDE AVE
JACKSONVILLE, FL
32204-4717
Practice Phone: 904-308-7372
Practice Fax: 904-308-6909
1568304822 — MRS. KIMBERLY ANN KEENAN MD
Practice Location Address:
2627 RIVERSIDE AVE
JACKSONVILLE, FL
32204-4717
Practice Phone: 904-308-7372
Practice Fax: 904-308-6909
1477495737 — NIKOL FEDOTOVA
Practice Location Address:
2627 RIVERSIDE AVE
JACKSONVILLE, FL
32204-4717
Practice Phone: 904-308-7372
Practice Fax:
1811839178 — SYDNEY BALL DO
Practice Location Address:
2627 RIVERSIDE AVE
JACKSONVILLE, FL
32204-4717
Practice Phone: 904-308-7372
Practice Fax: 904-308-6909

Directions to “ SUSANA SHIH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.