Individual
SHANNON MILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 AZALEA DR, DAYTONA BEACH, FL 32117-4802
(386) 983-5980
Mailing address
116 AZALEA DR, DAYTONA BEACH, FL 32117-4802
(321) 655-9309
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
FL
376J00000X
Homemaker
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
850765248
—
FL
Enumeration date
07/28/2018
Last updated
07/25/2021
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