Individual
SHANNON SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN/NRP
Contact information
Practice address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 828-2273
Mailing address
13234 GREAT PLAINS DR, RIVERVIEW, FL 33579-9437
(734) 891-2396
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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