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Individual

SHANNON T LEU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
559 W TWINCOURT TRL UNIT 601, SAINT AUGUSTINE, FL 32095-8805
(904) 493-8383
(904) 376-3209
Mailing address
PO BOX 43667, JACKSONVILLE, FL 32203-3667
(904) 720-0599
(904) 376-4036

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME94806
FL
207UN0901X
Nuclear Cardiology Physician
ME94806
FL

Other

Enumeration date
02/09/2006
Last updated
08/16/2023
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