Organization
VETERANS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLY KAY CANNON ARNP (ARNP)
(813) 972-2000
Entity
Organization
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 972-3642
Mailing address
2497 HERON TER, C-105, CLEARWATER, FL 33762-3355
(727) 492-9655
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
3190912
FL
Other
Enumeration date
02/24/2006
Last updated
08/22/2020
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