Cannon, Shay
Cannon, Shay is an individual health care provider with primary practice located at 2 Tampa General Cir , Tampa FL 33606-3571. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Cannon, Shay can be contacted via phone (813) 821-8724.Contact Information
Primary practice address
2 Tampa General Cir
Tampa FL 33606-3571
Phone: (813) 821-8724
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 9116245 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9116245 | Florida |
Profile Details
NPI number | 1124757513 |
---|---|
LBN Legal business name | Cannon, Shay |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2022 |
Last updated | Nov 9th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124757513 | NPPES |
Florida | Other | U49E2 | BCBS |
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