Most Relevant Information
Provider Data
| NPI Number: | 1003366287 |
| Provider Name: | SHANNON MELISSA CHIN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA9109953 |
Most Important Dates
| Enumeration Date: | 10/11/2016 |
| Last Updated: | 07/20/2018 |
Provider Practice Location
4300 ALTON RD STE 2522
MIAMI BEACH
FL
33140
Practice Location Phone/Fax
| Phone: | 3056742240 |
| Fax: | 3056743961 |
Provider Mailing Location
4300 ALTON RD STE 2522
MIAMI BEACH
FL
331402948
Provider Mailing Phone/Fax
| Phone: | 3056742240 |
| Fax: | 3056743961 |