Individual
SHANNON L BOHNERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13600 ICOT BLVD BLDG A, CLEARWATER, FL 33760-9703
(888) 290-6321
(727) 669-8417
Mailing address
13600 ICOT BLVD BLDG B, CLEARWATER, FL 33760-9703
(888) 290-6321
(727) 669-8417
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3796
FL
Other
Enumeration date
04/30/2013
Last updated
05/21/2024
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