Individual
DR. SHANNON L BOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2702 REW CIR, SUITE A, OCOEE, FL 34761-4226
(407) 656-5505
(407) 656-9688
Mailing address
2702 REW CIR, SUITE A, OCOEE, FL 34761-4226
(407) 656-5505
(407) 656-9688
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0036398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039822500
—
FL
01
—
M3CO4
BCBS GROUP ID
FL
Enumeration date
08/23/2006
Last updated
09/14/2020
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