Matthew Brian Shannon MD

NPI 1417040569 - Emergency Medicine - 207P00000X

NPI Details
NPI 1417040569
Gender Male
Enumeration Date 10/02/2006
Last Updated 02/04/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
655 W 8TH ST
UFJP EMERGENCY MEDICINE
JACKSONVILLE FL, 32209-6511, US
Phone (904) 244-4107
Fax
Business Location
PO BOX 44008
UFJP EMERGENCY MEDICINE
JACKSONVILLE FL, 32231-4008, US
Phone
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Florida
License Number ME73606
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According to our database, Dr. Matthew Brian Shannon MD NPI is 1417040569, taxonomy code is 207P00000X and license number is ME73606, license state is located at Florida. Matthew Brian Shannon MD physically located at 655 W 8th St, Jacksonville FL, 32209-6511. NPI Number Matthew Brian Shannon MD has the Individual type.

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1417040569 NPI number is provided on an as is basis without warranty of any kind. 1417040569 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Brian Shannon MD are for informational purposes only.