Individual
SHANNON FALCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12902 MAGNOLIA DR., TAMPA, FL 33612
(888) 860-2778
(813) 355-5099
Mailing address
12902 MAGNOLIA DR., TAMPA, FL 33612
(888) 860-2778
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME106718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006305100
—
FL
01
—
14L46
BLUE CROSS BLUE SHIELD
FL
01
—
P01135662
R&R MEDICARE
FL
Enumeration date
09/11/2007
Last updated
05/02/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us