# SHANNON L BOYER MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SHANNON BOYER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396134979
- **Authorized official:** DR. SHANNON L BOYER MD (DOCTOR)
- **Authorized official phone:** (407) 656-5505

## Contact information

- **Practice address:** 2702 REW CIR, SUITE A, OCOEE, FL 34761-4226
- **Practice address phone:** (407) 656-5505
- **Practice address fax:** (407) 656-9688
- **Mailing address:** 2702 REW CIR, SUITE A, OCOEE, FL 34761-4226
- **Mailing address phone:** (407) 656-5505
- **Mailing address fax:** (407) 656-9688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME36398 | FL | Yes |

## Other

- **Enumeration date:** 01/20/2015
- **Last updated:** 01/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 039822500 | — | FL |