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Shannon Houghtlin, DO
Student in an Organized Health Care Education/Training Program in Fort Pierce, Florida
NPI 1053170183

Shannon Houghtlin is a Student in an Organized Health Care Education/Training Program based in Fort Pierce, FL. Shannon Houghtlin practices in Fort Pierce, FL and has the professional credentials of DO. The NPI Number for Shannon Houghtlin is 1053170183 and holds a License No. (Florida).

The current practice location address for Shannon Houghtlin is 1700 S 23Rd St, Fort Pierce, FL and can be reached out via phone at 772-468-4554.

Location: 1700 S 23Rd St, Fort Pierce, FL, 34950-4803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053170183
Provider Name
Shannon Houghtlin
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1700 S 23Rd St, Fort Pierce, FL, 34950-4803
Phone Number
772-468-4554
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1700 S 23Rd St
City
Fort Pierce
State
Florida
Zip
34950-4803
Phone Number
772-468-4554
Fax Number
person
Provider Business Mailing Address Details
Address
1700 S 23Rd St
City
Fort Pierce
State
Florida
Zip
34950-4803
Phone Number
772-468-4554
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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