Individual
SHANNON JEAN SOTOUDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 DR MARTIN LUTHER KING JR ST N, SAINT PETERSBURG, FL 33701-2717
(727) 825-0111
Mailing address
333 DR MARTIN LUTHER KING JR ST N, SAINT PETERSBURG, FL 33701-2717
(727) 825-0111
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME149545
FL
208000000X
Pediatrics Physician
ME149545
FL
Other
Enumeration date
03/27/2018
Last updated
09/11/2023
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