Individual
MR. SHANE G DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6400 LAKE HORSESHOE DR, ORLANDO, FL 32818-1737
(407) 732-1290
Mailing address
6400 LAKE HORSESHOE DR, ORLANDO, FL 32818-1737
(407) 732-1290
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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