Individual
DR. KAREN WANG SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
812 NW 57TH ST, GAINESVILLE, FL 32605-6414
(352) 519-5420
(352) 333-6249
Mailing address
8976 SW 11TH AVE, GAINESVILLE, FL 32607-4962
(352) 219-8104
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
ME81339
FL
207QA0505X
Adult Medicine Physician
Primary
ME81339
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053127800
—
FL
Enumeration date
03/17/2006
Last updated
11/19/2014
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