Most Relevant Information
Provider Data
| NPI Number: | 1003175241 |
| Provider Name: | SHANNON MOSER |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2012 |
| Last Updated: | 05/09/2012 |
Provider Practice Location
4300 SW 13TH ST
GAINESVILLE
FL
326084006
Practice Location Phone/Fax
| Phone: | 3523745600 |
| Fax: | 3523745608 |
Provider Mailing Location
4300 SW 13TH ST
GAINESVILLE
FL
326084006
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |