Domfort, Shannon
Domfort, Shannon is an sole proprietor health care provider with primary practice located at 31840 Us Highway 19 N , Palm Harbor FL 34684-3713. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Domfort, Shannon can be contacted via phone (727) 202-9200.Contact Information
Primary practice address
31840 Us Highway 19 N
Palm Harbor FL 34684-3713
Phone: (727) 202-9200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT20621 | Florida |
Profile Details
| NPI number | 1376912063 |
|---|---|
| LBN Legal business name | Domfort, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2015 |
| Last updated | Jan 26th, 2020 - about 4 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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