Fullerton, Shannia

Fullerton, Shannia is an individual health care provider with primary practice located at 62 Columbia St , Orlando FL 32806-1115. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is her primary health care specialty. Fullerton, Shannia can be contacted via phone (321) 214-4903.

Contact Information

Primary practice address
62 Columbia St Orlando FL 32806-1115
Phone: (321) 214-4903
Fax: (321) 843-2196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 32697719 Florida
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X AA621 Florida

Profile Details

NPI number 1912510124
LBN Legal business name Fullerton, Shannia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2020
Last updated Dec 29th, 2023 - 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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