Individual
DR. SHANNEN M MCGINLEY-VALLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8057 SPYGLASS HILL RD STE 102, VIERA, FL 32940-8565
(321) 435-9800
Mailing address
134 S WOODS DR, ROCKLEDGE, FL 32955-3262
(321) 636-3066
(321) 636-2545
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS18776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114735600
—
FL
Enumeration date
04/10/2019
Last updated
07/20/2022
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