Sotoudeh, Shannon Jean
Sotoudeh, Shannon Jean is an individual health care provider with primary practice located at 333 Dr Martin Luther King Jr St N , Saint Petersburg FL 33701-2717. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Sotoudeh, Shannon Jean can be contacted via phone (727) 825-0111.Contact Information
Primary practice address
333 Dr Martin Luther King Jr St N
Saint Petersburg FL 33701-2717
Phone: (727) 825-0111
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ME149545 | Florida |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME149545 | Florida |
Profile Details
NPI number | 1174028732 |
---|---|
LBN Legal business name | Sotoudeh, Shannon Jean |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2018 |
Last updated | Sep 11th, 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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