Individual
SHAWN MAYWEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2141 NE 37TH TER, HOMESTEAD, FL 33033-5145
(786) 512-8609
Mailing address
2141 NE 37TH TER, HOMESTEAD, FL 33033-5145
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5174843
FL
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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