Individual
SHANNON JANE O'MEARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N
Contact information
Practice address
17000 PORTER RD STE 204, WINTER GARDEN, FL 34787-8915
(407) 407-3046
Mailing address
2444 SWEET OAK ST, OCOEE, FL 34761-7609
(407) 592-1894
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
11928
FL
Other
Enumeration date
07/03/2023
Last updated
07/06/2023
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