Dunn, Shannon Brockman

Dunn, Shannon Brockman is an individual health care provider with primary practice located at 83 W Miller St , Orlando FL 32806-2031. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Dunn, Shannon Brockman can be contacted via phone (321) 843-9792.

Contact Information

Primary practice address
83 W Miller St Orlando FL 32806-2031
Phone: (321) 843-9792
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X TRN34833 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101261265 Virginia

Profile Details

NPI number 1710372511
LBN Legal business name Dunn, Shannon Brockman
Credentials MD, RDN, IBCLC, FAAP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2015
Last updated Mar 14th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710372511 NPPES
Virginia Other 0101261265 MEDICAL LICENSE

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