Individual
SHANNON R PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN/LD
Contact information
Practice address
902 PLAZA ST, CLEARWATER, FL 33755-4446
(727) 488-1288
Mailing address
902 PLAZA ST, CLEARWATER, FL 33755-4446
(727) 488-1288
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2427
OK
Other
Enumeration date
05/01/2020
Last updated
09/11/2025
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