O'Bryan, Shannon

O'Bryan, Shannon is an individual health care provider with primary practice located at 699 W Cocoa Beach Cswy Suite 601, Cocoa Beach FL 32931-3577. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. O'Bryan, Shannon can be contacted via phone (321) 783-2486.

Contact Information

Primary practice address

699 W Cocoa Beach Cswy Suite 601 Cocoa Beach FL 32931-3577

Phone: (321) 783-2486

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant	363A00000X	PA9101898	Florida

Profile Details

NPI number	1790720670
LBN Legal business name	O'Bryan, Shannon
Credentials	Physician Assistant (PA)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 17th, 2006
Last updated	Jul 8th, 2007 - about 19 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

State	Type	Number	Issuer
All States	NPI	1790720670	NPPES
Florida	Other	PA9101898	LICENSE

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