Cantrell, Dorothy Shawn
Cantrell, Dorothy Shawn is an individual health care provider with primary practice located at 10080 Sw Innovation Way , Port Saint Lucie FL 34987-2127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cantrell, Dorothy Shawn can be contacted via phone (772) 285-8622.Contact Information
Primary practice address
10080 Sw Innovation Way
Port Saint Lucie FL 34987-2127
Phone: (772) 285-8622
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 9115906 | Florida |
Profile Details
| NPI number | 1538823299 |
|---|---|
| LBN Legal business name | Cantrell, Dorothy Shawn |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2021 |
| Last updated | Apr 12th, 2024 - about last year |
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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