Bauer, Shannon Carly

Bauer, Shannon Carly is an individual health care provider with primary practice located at 13330 Usf Laurel Dr , Tampa FL 33612-6601. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bauer, Shannon Carly can be contacted via phone (813) 821-8038.

Contact Information

Primary practice address
13330 Usf Laurel Dr Tampa FL 33612-6601
Phone: (813) 821-8038
Fax: (813) 821-8378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9114967 Florida

Profile Details

NPI number 1063050037
LBN Legal business name Bauer, Shannon Carly
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2019
Last updated Jul 5th, 2024 - about 2 years 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.

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