Individual
SHANNON KATE POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SE NIGHTINGALE ST, KEYSTONE HEIGHTS, FL 32656-9522
(352) 473-1118
(352) 473-1119
Mailing address
PO BOX 2043, KEYSTONE HEIGHTS, FL 32656-2043
(352) 473-1118
(352) 473-1119
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 58280
FL
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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