Individual
MR. SHAWN CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 S KINGS AVE STE 4, BRANDON, FL 33511-5722
(813) 681-3863
Mailing address
201 S KINGS AVE STE 4, BRANDON, FL 33511-5722
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1402
FL
Other
Enumeration date
03/16/2007
Last updated
04/25/2008
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