NPI 1013664796
Shannon Riley, VICEPRESIDENTOFOP
Practice location
- Address
- 570 Memorial Cir STE 110, Ormond Beach, FL 32174-5063
- Phone
- (386) 951-5571
- Fax
- (386) 287-5776
Registered specialties
Laboratory Management Specialist/Technologist
Primary
Registry record
- NPI
- 1013664796
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Mar 2022
- Record last updated
- 3 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.