Individual
MRS. SHAWN NICOLE PRESTON CASAVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1900 DON WICKHAM DRIVE, STE 120, CLERMONT, FL 34711-1947
(352) 241-7050
(352) 241-7035
Mailing address
1900 DON WICKHAM DRIVE, STE 120, CLERMONT, FL 34711-1947
(352) 241-7050
(352) 241-7035
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3403
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291263500
—
FL
Enumeration date
07/18/2005
Last updated
10/23/2014
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