Pena, Shannon Michelle
Pena, Shannon Michelle is an sole proprietor health care provider with primary practice located at 12333 Nw 18Th St Ste 5 , Pembroke Pines FL 33026-4386. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pena, Shannon Michelle can be contacted via phone (954) 780-6093.Contact Information
Primary practice address
12333 Nw 18Th St Ste 5
Pembroke Pines FL 33026-4386
Phone: (954) 780-6093
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW21618 | Florida |
Profile Details
| NPI number | 1255677290 |
|---|---|
| LBN Legal business name | Pena, Shannon Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2012 |
| Last updated | Jun 29th, 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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