Rodriguez, Shannon Rose
Rodriguez, Shannon Rose is an individual health care provider with primary practice located at 13020 N Telecom Pkwy , Temple Terrace FL 33637-0915. 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. Rodriguez, Shannon Rose can be contacted via phone (813) 978-9700.Contact Information
Primary practice address
13020 N Telecom Pkwy
Temple Terrace FL 33637-0915
Phone: (813) 978-9700
Fax: (813) 558-6185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9111385 | Florida |
Profile Details
| NPI number | 1043796675 |
|---|---|
| LBN Legal business name | Rodriguez, Shannon Rose |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2018 |
| Last updated | Oct 27th, 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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