Individual
MR. SHAWN HEARING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
885 E PRIMA VISTA BLVD, PORT SAINT LUCIE, FL 34952-2342
(772) 340-0799
(772) 340-4401
Mailing address
885 E PRIMA VISTA BLVD, PORT SAINT LUCIE, FL 34952-2342
(772) 340-0799
(772) 340-4401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA22392
FL
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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