Individual
SHANNON N. MOONAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 S.W. ARCHER ROAD, GAINESVILLE, FL 32608
(352) 548-6000
Mailing address
1601 S.W. ARCHER ROAD, GAINESVILLE, FL 32608-1167
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
010260596
VA
207RI0200X
Infectious Disease Physician
Primary
ME162781
FL
Other
Enumeration date
05/28/2008
Last updated
07/19/2023
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