Individual
SHANNON MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3033 WINKLER AVE UNIT 100, FORT MYERS, FL 33916-9523
(239) 277-7070
(239) 277-7071
Mailing address
3033 WINKLER AVE UNIT 100, FORT MYERS, FL 33916-9523
(239) 277-7070
(239) 277-7071
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108766
FL
Other
Enumeration date
07/13/2015
Last updated
10/17/2018
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