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1477736809
SHANNON TRAVIS MALMQUIST
MIAMI, FL
NPI
1477736809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9104405)
Enumeration Date
2007-12-07
Last Update Date
2021-07-02
Business Address
Mr. SHANNON TRAVIS MALMQUIST PA
8900 N. KENDALL DR MIAMI CANCER INSTITUTE
MIAMI, FL 33176-2118
Phone number: 786-596-2000
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Mailing Address
Mr. SHANNON TRAVIS MALMQUIST PA
9350 SUNSET DR STE 200
MIAMI, FL 33173-3245
Phone number:
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