Milton, Shannon

Milton, Shannon is an individual health care provider with primary practice located at 116 Azalea Dr , Daytona Beach FL 32117-4802. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Milton, Shannon can be contacted via phone (386) 983-5980.

Contact Information

Primary practice address
116 Azalea Dr Daytona Beach FL 32117-4802
Phone: (386) 983-5980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X Florida
Nursing Service Related Providers / Home Health Aide 374U00000X Florida

Profile Details

NPI number 1275011611
LBN Legal business name Milton, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2018
Last updated Jul 25th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275011611 NPPES
Florida MEDICAID 850765248

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