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SHORES MEDICAL PA
NPI 1023114527
Family Medicine in Edgewater, FL

Active since September 15, 2006
346 N RIDGEWOOD AVE, EDGEWATER, FL 32132(386) 423-1888(386) 423-2030 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shores Medical Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHORES MEDICAL PA (NPI 1023114527) is a healthcare organization registered as a family medicine in Edgewater, Florida and active in the NPI registry since September 2006. The organization lists Susan Hole, Administrator, as its authorized official.

NPPES Registry Identity

NPI1023114527
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHORES MEDICAL PA
Location Address346 N RIDGEWOOD AVEEdgewater, FL 32132-1671
Mailing Address346 N Ridgewood Ave, Suite AEdgewater, FL 32132-1671 · (386) 423-1888 · Fax (386) 423-2030
Phone(386) 423-1888
Fax(386) 423-2030
Organization SubpartNo
Authorized OfficialSusan HoleAdministrator · (386) 423-1888
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1023114527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
346 N RIDGEWOOD AVE, Edgewater, FL 32132
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW SCHROEDER
Physician Assistant
346 N RIDGEWOOD AVE
EDGEWATER, FL 32132
Volusia County (386) 423-1888
SUSAN A HOLE D.O.
Family Medicine
346 N RIDGEWOOD AVE, SUITE A
EDGEWATER, FL 32132
Volusia County (386) 423-1888
DR. ROBERT E HOLE P.O.
Podiatrist (Primary Podiatric Medicine)
346 N RIDGEWOOD AVE
EDGEWATER, FL 32132
Volusia County (386) 423-1888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shores Medical PA's NPI number?

The NPI number for Shores Medical PA is 1023114527. It was assigned to this organization in the NPPES registry on September 15, 2006.

Where is Shores Medical PA located?

Shores Medical PA is located at 346 N Ridgewood Ave, Edgewater, FL 32132. The listed phone number is (386) 423-1888.

What is Shores Medical PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Shores Medical PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.