SearchFlorida1041C0700X

Douglas Shine, L.C.S.W

NPI 1992821201 · on the registry since 2007 · sole proprietor

Practice

Address
1705 Duck Water Ct
Saint Johns, FL 32259
Phone
(904) 287-3122
Fax
(904) 287-3122

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida