Individual
SHANNON THOR POLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
925 N STONE ST, DELAND, FL 32720-2521
(386) 734-6007
(386) 734-6008
Mailing address
925 N STONE ST, DELAND, FL 32720-2521
(386) 734-6007
(386) 734-6008
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
9478758
FL
Other
Enumeration date
03/28/2018
Last updated
05/08/2019
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