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Individual

SHANNON HAHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1551 CLAY ST, WINTER PARK, FL 32789-5499
(407) 644-5371
(407) 644-1417
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0333
(813) 282-1806

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
ME132199
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020868600
FL
01
IZ016Z
MEDICARE
FL
Enumeration date
05/28/2013
Last updated
06/22/2023
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