Shannon, Emily Grace

Shannon, Emily Grace is an individual health care provider with primary practice located at 4700 Millenia Blvd Ste 500 , Orlando FL 32839-6019. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is her primary health care specialty. Shannon, Emily Grace can be contacted via phone (407) 349-8353.

Contact Information

Primary practice address
4700 Millenia Blvd Ste 500 Orlando FL 32839-6019
Phone: (407) 349-8353
Fax: (720) 640-0405
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1528786050
LBN Legal business name Shannon, Emily Grace
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2022
Last updated Feb 1st, 2024 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528786050 NPPES
Other CPO05062 ABC

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