Thomas, Eddy Shane

Thomas, Eddy Shane is an individual health care provider with primary practice located at 300 Health Park Blvd Ste 4000 , St Augustine FL 32086-3704. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Thomas, Eddy Shane can be contacted via phone (904) 824-8666.

Contact Information

Primary practice address
300 Health Park Blvd Ste 4000 St Augustine FL 32086-3704
Phone: (904) 824-8666
Fax: (904) 824-8933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9237428 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9237428 Florida

Profile Details

NPI number 1609326537
LBN Legal business name Thomas, Eddy Shane
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2016
Last updated Jul 27th, 2026 - about 3 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.

Request for update

Popular Providers