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1326200395
SHANNON MIXON COVITZ
CLEARWATER, FL
NPI
1326200395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL OS 11652)
Enumeration Date
2008-06-30
Last Update Date
2013-03-28
Business Address
-- SHANNON MIXON COVITZ D.O.
18167 US HIGHWAY 19 N SUITE 650
CLEARWATER, FL 33764-3528
Phone number: 800-507-8874
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Mailing Address
-- SHANNON MIXON COVITZ D.O.
21 BELLEVUE DR
TREASURE ISLAND, FL 33706-1201
Phone number:
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