Most Relevant Information
Provider Data
NPI Number: | 1003554676 |
Provider Name: | SHANNON COLLINS MD |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: | 35300 |
Most Important Dates
Enumeration Date: | 05/24/2022 |
Last Updated: | 05/26/2022 |
Provider Practice Location
3501 JOHNSON ST
HOLLYWOOD
FL
330215421
Practice Location Phone/Fax
Phone: | 9548444491 |
Fax: |
Provider Mailing Location
3501 JOHNSON ST
HOLLYWOOD
FL
330215421
Provider Mailing Phone/Fax
Phone: | |
Fax: |