Eggleston, Shacara

Eggleston, Shacara is an individual health care provider with primary practice located at 5860 Ranch Lake Blvd Ste 200 , Lakewood Ranch FL 34202-3719. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Eggleston, Shacara can be contacted via phone (941) 388-8997.

Contact Information

Primary practice address
5860 Ranch Lake Blvd Ste 200 Lakewood Ranch FL 34202-3719
Phone: (941) 388-8997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9116169 Florida

Profile Details

NPI number 1114589405
LBN Legal business name Eggleston, Shacara
Credentials MPAS, ATC, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2019
Last updated Nov 28th, 2023 - about 3 years 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 1114589405 NPPES
Florida MEDICAID 1114589405

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