Individual
SHAWN L MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4894 INVERNESS CT APT 102, PALM HARBOR, FL 34685-4102
(727) 641-8987
Mailing address
4894 INVERNESS CT APT 102, PALM HARBOR, FL 34685-4102
(727) 641-8987
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2260
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL2260
ATHLETIC TRAINER
FL
Enumeration date
04/23/2007
Last updated
07/08/2007
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