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Shannon Mooney, DO
Student in an Organized Health Care Education/Training Program in St Petersburg, Florida
NPI 1104528017

Shannon Mooney is a Student in an Organized Health Care Education/Training Program based in St Petersburg, FL. Shannon Mooney practices in St Petersburg, FL and has the professional credentials of DO. The NPI Number for Shannon Mooney is 1104528017 and holds a License No. (Florida).

The current practice location address for Shannon Mooney is 501 6Th Ave S, St Petersburg, FL and can be reached out via phone at 727-767-8804.

Location: 501 6Th Ave S, St Petersburg, FL, 33701-4634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104528017
Provider Name
Shannon Mooney
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
501 6Th Ave S, St Petersburg, FL, 33701-4634
Phone Number
727-767-8804
Fax Number
Provider Enumeration Date
03/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
501 6Th Ave S
City
St Petersburg
State
Florida
Zip
33701-4634
Phone Number
727-767-8804
Fax Number
person
Provider Business Mailing Address Details
Address
501 6Th Ave S
City
St Petersburg
State
Florida
Zip
33701-4634
Phone Number
727-767-8804
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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