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Individual
SHANNON D MARZOUK
Active
Individual
SHANNON D MARZOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11021923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116210000
—
FL
01
—
VS005
MEDICARE HF
FL
Enumeration date
11/07/2022
Last updated
09/12/2025
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