Individual
SHANNON ELBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12901 BROLEMAN RD, ORLANDO, FL 32832-6107
(407) 641-0808
Mailing address
2130 MICHIGAN AVE # 314, KISSIMMEE, FL 34744-2927
(407) 641-0808
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
09/26/2025
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