# DR. SHANNON RAMIREZ, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720661291
- **Authorized official:** DR. SHANNON RAMIREZ DO (OWNER)
- **Authorized official phone:** (678) 889-0881

## Contact information

- **Practice address:** 831 S STATE ROAD 434, ALTAMONTE SPRINGS, FL 32714-3502
- **Practice address phone:** (407) 587-8600
- **Mailing address:** 1070 MONTGOMERY RD \# 401, ALTAMONTE SPRINGS, FL 32714-7420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 283X00000X | Rehabilitation Hospital | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 05/03/2021
- **Last updated:** 10/31/2024