Mayo, Shawyntee Mireille

Mayo, Shawyntee Mireille is an individual health care provider with primary practice located at 841 Prudential Dr Ste 280 , Jacksonville FL 32207-8350. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Mayo, Shawyntee Mireille can be contacted via phone (904) 202-8550.

Contact Information

Primary practice address
841 Prudential Dr Ste 280 Jacksonville FL 32207-8350
Phone: (904) 202-8550
Fax: (904) 393-7808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 208000000X North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME131416 Florida
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X P1706 Texas
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X ME131416 Florida

Profile Details

NPI number 1952575854
LBN Legal business name Mayo, Shawyntee Mireille
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Aug 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952575854 NPPES
Florida MEDICAID 020171200

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