Individual
SHANNON LABOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
580 W 8TH ST # T1-9T17, JACKSONVILLE, FL 32209-6533
(904) 244-9696
Mailing address
580 W 8TH ST # T1-9T17, JACKSONVILLE, FL 32209-6533
(904) 244-9696
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME141459
FL
Other
Enumeration date
05/21/2014
Last updated
07/08/2019
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