Individual
MR. DEMOND C SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3131 S TAMIAMI TRL, SARASOTA, FL 34239-5101
(941) 685-6236
Mailing address
4633 VIOLET AVE, SARASOTA, FL 34233-1846
(941) 685-6236
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
93836
FL
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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