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:
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Health care specialties

SpecialtyCodeLicense #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

StateTypeNumberIssuer
All States NPI 1790720670 NPPES
Florida Other PA9101898 LICENSE

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