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Individual

SHAWN CARMICHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
925 S SEMORAN BLVD STE 110A, WINTER PARK, FL 32792-5313
(407) 961-6297
Mailing address
925 S SEMORAN BLVD STE 110A, WINTER PARK, FL 32792-5313
(407) 961-6297

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
649735
CA

Other

Enumeration date
07/28/2020
Last updated
07/28/2020
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