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Shannon Overholt
Emergency Medicine Physician in Orange Park, Florida
NPI 1730717570

Shannon Overholt is a Emergency Medicine Physician based in Orange Park, FL. Shannon Overholt practices in Orange Park, FL. The NPI Number for Shannon Overholt is 1730717570 and holds a License No. (Florida).

The current practice location address for Shannon Overholt is 2001 Kingsley Ave, Orange Park, FL and can be reached out via phone at 904-639-2000 and via fax at 904-639-2015.

Location: 2001 Kingsley Ave, Orange Park, FL, 32073-5148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730717570
Provider Name
Shannon Overholt
Credential
Provider Entity Type
Individual
Gender
Male
Address
2001 Kingsley Ave, Orange Park, FL, 32073-5148
Phone Number
904-639-2000
Fax Number
904-639-2015
Provider Enumeration Date
03/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-5148
Phone Number
904-639-2000
Fax Number
904-639-2015
person
Provider Business Mailing Address Details
Address
2001 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-5148
Phone Number
904-639-2000
Fax Number
904-639-2015
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
155780 (Florida)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
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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