Individual
BRYAN SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5400
(850) 522-4485
Mailing address
525 E 15TH ST, PANAMA CITY, FL 32405-5400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9374971
FL
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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