Individual
SHANNON SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12751 S CLEVELAND AVE, FORT MYERS, FL 33907-7732
(239) 277-9999
Mailing address
1876 PASSAIC AVE, FORT MYERS, FL 33901-7126
(239) 994-2824
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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