Individual
MEGAN SHANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
89 W COPELAND DRIVE, ORLANDO, FL 32806
(321) 841-7550
Mailing address
335 N MAGNOLIA AVE APT 1410, ORLANDO, FL 32801-1782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA116446
FL
Other
Enumeration date
09/01/2022
Last updated
12/29/2022
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