Mahoney, Shannon

Mahoney, Shannon is an individual health care provider with primary practice located at 3033 Winkler Ave Unit 100 , Fort Myers FL 33916-9523. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mahoney, Shannon can be contacted via phone (239) 277-7070.

Contact Information

Primary practice address
3033 Winkler Ave Unit 100 Fort Myers FL 33916-9523
Phone: (239) 277-7070
Fax: (239) 277-7071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9108766 Florida

Profile Details

NPI number 1235513904
LBN Legal business name Mahoney, Shannon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2015
Last updated Oct 17th, 2018 - about 8 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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