Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shores Medical PA

Organization Family Medicine Physician · NPI 1023114527

Shores Medical PA provides Family Medicine Physician services in Edgewater, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

346 N Ridgewood Ave
Edgewater, FL 32132-1671
Phone: (386) 423-1888
Fax: (386) 423-2030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (FL)

Record details

NPI number1023114527
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Hole — Administrator · (386) 423-1888
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJuly 21, 2022
Mailing address346 N Ridgewood Ave, Suite A, Edgewater, FL 32132-1671

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