person
Paul Shadowen
Student in an Organized Health Care Education/Training Program in Tallahassee, Florida
NPI 1154986016

Paul Shadowen is a Student in an Organized Health Care Education/Training Program based in Tallahassee, FL. Paul Shadowen practices in Tallahassee, FL. The NPI Number for Paul Shadowen is 1154986016 and holds a License No. (Florida).

The current practice location address for Paul Shadowen is 1401 Centerville Rd Suite 107, Tallahassee, FL and can be reached out via phone at 850-431-5567. You can also correspond with Paul Shadowen through the mailing address at 1401 CENTERVILLE RD SUITE 107, TALLAHASSEE, FL - 32308-4638 (mailing address contact number: 850-431-5567).

Location: 1401 Centerville Rd Suite 107, Tallahassee, FL, 32308-4638
person
Provider Profile Details
NPI Number
1154986016
Provider Name
Paul Shadowen
Credential
Provider Entity Type
Individual
Gender
Male
Address
1401 Centerville Rd Suite 107, Tallahassee, FL, 32308-4638
Phone Number
850-431-5567
Fax Number
Provider Enumeration Date
05/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1401 Centerville Rd Suite 107
City
State
Zip
32308-4638
Phone Number
850-431-5567
Fax Number
person
Provider Business Mailing Address Details
Address
1401 Centerville Rd Suite 107
City
State
Zip
32308-4638
Phone Number
850-431-5567
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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