Individual
LEILA SHAMMOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 VIA BELLA BLVD STE 204, LAND O LAKES, FL 34639-5429
(813) 751-3636
(813) 377-1678
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
(813) 355-5101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9118102
FL
363AM0700X
Medical Physician Assistant
Primary
PA9118102
FL
Other
Enumeration date
04/03/2024
Last updated
06/17/2024
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