NPI 1194539874

Shannon Simon, LPNNRP

Practitioner Independent Duty Medical Technicians Tampa, FL

Practice location

Address: 3250 Zemke Ave, Tampa, FL 33621-5023
Phone: (813) 828-2273
Mailing address: 13234 Great Plains Dr, Riverview, FL 33579-9437

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1194539874
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Feb 2025
Record last updated: 4 Feb 2025

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.