Individual
SHAVON CHANTA BURNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12337 WYNNFIELD LAKES DR UNIT 1721, JACKSONVILLE, FL 32246-4272
(386) 383-0251
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
FL
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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