Most Relevant Information
Provider Data
| NPI Number: | 1003326463 |
| Provider Name: | SHANNON C ORLANDO |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | ARNP9327431 |
Most Important Dates
| Enumeration Date: | 10/11/2017 |
| Last Updated: | 11/14/2017 |
Provider Practice Location
105 W MILLER ST
ORLANDO
FL
328063910
Practice Location Phone/Fax
| Phone: | 3218418393 |
| Fax: | 3218417930 |
Provider Mailing Location
105 W MILLER ST
ORLANDO
FL
328063910
Provider Mailing Phone/Fax
| Phone: | 3218418393 |
| Fax: | 3218417930 |