Shallop, Brandon
Shallop, Brandon is an individual health care provider with primary practice located at 180 John F Kennedy Dr Ste 100 , Atlantis FL 33462-6641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Shallop, Brandon can be contacted via phone (561) 967-6500.Contact Information
Primary practice address
180 John F Kennedy Dr Ste 100
Atlantis FL 33462-6641
Phone: (561) 967-6500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME145829 | Florida |
Profile Details
NPI number | 1720490105 |
---|---|
LBN Legal business name | Shallop, Brandon |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 20th, 2014 |
Last updated | Jun 6th, 2024 - about 5 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720490105 | NPPES |
Florida | Other | ME145829 | LICENSE |
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