Black, Shannon

Black, Shannon is an individual health care provider with primary practice located at 550 N Reo St , Tampa FL 33609-1061. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Black, Shannon can be contacted via phone (813) 374-2070.

Contact Information

Primary practice address
550 N Reo St Tampa FL 33609-1061
Phone: (813) 374-2070
Fax: (813) 337-0937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1063948248
LBN Legal business name Black, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2017
Last updated May 7th, 2017 - about 7 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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