| Shores Health, PLLC | |
|
308 Graciela Cir St Augustine FL 32086-7837 | |
| (210) 508-5621 | |
| Not Available |
| Full Name | Shores Health, PLLC |
|---|---|
| Speciality | Clinic/center |
| Location | 308 Graciela Cir, St Augustine, Florida |
| Authorized Official Name and Position | Katrinia Kraemer (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 9044951610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shores Health, PLLC 308 Graciela Cir St Augustine FL 32086-7837 Ph: (210) 508-5621 | Shores Health, PLLC 308 Graciela Cir St Augustine FL 32086-7837 Ph: (210) 508-5621 |
| NPI Number | 1760357719 |
|---|---|
| Provider Enumeration Date | 10/09/2025 |
| Last Update Date | 10/09/2025 |
| Certification Date | 10/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760357719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (NU) | Secondary |
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