Organization
ERIN SHANNON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN SHANNON (PRESIDENT)
(954) 579-6662
Entity
Organization
Contact information
Practice address
285 NW 27TH AVE STE 8, MIAMI, FL 33125-5132
(786) 502-8969
Mailing address
1053 W HERITAGE CLUB CIR, DELRAY BEACH, FL 33483-3480
(954) 579-6662
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC3398
LICENSE NUMBER
FL
Enumeration date
04/11/2023
Last updated
03/08/2024
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