Abernathie, Shaun Gordon

Abernathie, Shaun Gordon is an individual health care provider with primary practice located at 6435 Hazeltine National Dr Ste 140 , Orlando FL 32822-5156. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Abernathie, Shaun Gordon can be contacted via phone (855) 274-1694.

Contact Information

Primary practice address
6435 Hazeltine National Dr Ste 140 Orlando FL 32822-5156
Phone: (855) 274-1694
Fax: (407) 915-4422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS37634 Florida

Profile Details

NPI number 1013109701
LBN Legal business name Abernathie, Shaun Gordon
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Nov 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013109701 NPPES
Florida Other PS37634 FLORIDA STATE LICENSE NUMBER

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