Individual
MR. THOMAS SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13838 FOX GLOVE ST, WINTER GARDEN, FL 34787-4671
(407) 656-0087
Mailing address
13838 FOX GLOVE ST, WINTER GARDEN, FL 34787-4671
(407) 656-0087
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
FL
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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