Individual
SHANNON BROCKMAN DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, RDN, IBCLC, FAAP
Contact information
Practice address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 843-9792
Mailing address
83 W MILLER ST, ORLANDO, FL 32806-2031
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101261265
VA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
TRN34833
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101261265
MEDICAL LICENSE
VA
Enumeration date
03/30/2015
Last updated
03/14/2023
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