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Individual

SHANNAN VICTORINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
299 NW 52ND TER, BOCA RATON, FL 33487-3709
(774) 365-9192
Mailing address
299 NW 52ND TER, BOCA RATON, FL 33487-3709
(774) 365-9192

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
APRN11016276
FL

Other

Enumeration date
11/02/2021
Last updated
11/02/2021
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