Individual
SHANNA M MIRANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1015 CROSSPOINTE DR, NAPLES, FL 34110-0930
(239) 596-9075
(239) 596-9076
Mailing address
15051 S TAMIAMI TRL, SUITE 203, FORT MYERS, FL 33908-5182
(239) 437-8810
(239) 437-8875
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9102096
FL
Other
Enumeration date
02/23/2006
Last updated
07/10/2015
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