Organization
DR. SHANNON JOSEPH O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON JOSEPH O.D. (DOCTOR OF OPTOMETRY)
(954) 895-2530
Entity
Organization
Contact information
Practice address
12801 W SUNRISE BLVD, SUNRISE, FL 33323-4020
(954) 895-2530
Mailing address
304 INDIAN TRCE, #718, WESTON, FL 33326-2996
(954) 895-2530
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5208
FL
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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