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Shannon Taylor Ingwersen, MD
Obstetrics Physician in Melbourne, Florida
NPI 1902162019

Shannon Taylor Ingwersen is a Obstetrics Physician based in Melbourne, FL and is specialized in Obstetrics. Shannon Taylor Ingwersen practices in Melbourne, FL and has the professional credentials of MD. The NPI Number for Shannon Taylor Ingwersen is 1902162019 and holds a License No. (Florida).

The current practice location address for Shannon Taylor Ingwersen is 330 E Hibiscus Blvd, Melbourne, FL and can be reached out via phone at 321-724-2229 and via fax at 321-728-6668.

Location: 330 E Hibiscus Blvd, Melbourne, FL, 32901-3155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902162019
Provider Name
Shannon Taylor Ingwersen
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
330 E Hibiscus Blvd, Melbourne, FL, 32901-3155
Phone Number
321-724-2229
Fax Number
321-728-6668
Provider Enumeration Date
04/03/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
330 E Hibiscus Blvd
City
Melbourne
State
Florida
Zip
32901-3155
Phone Number
321-724-2229
Fax Number
321-728-6668
person
Provider Business Mailing Address Details
Address
330 E Hibiscus Blvd
City
Melbourne
State
Florida
Zip
32901-3155
Phone Number
321-724-2229
Fax Number
321-728-6668
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
ME149728 (Florida)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
DR.0056592 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
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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