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1497326920
SHANNON ROXSANNE BURGOS
TAMPA, FL
NPI
1497326920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11013994)
Enumeration Date
2021-07-06
Last Update Date
2021-07-06
Business Address
SHANNON ROXSANNE BURGOS APRN
10970 CROSS CREEK BLVD FL 33647D
TAMPA, FL 33647-4055
Phone number: 813-369-5969
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Mailing Address
SHANNON ROXSANNE BURGOS APRN
12306 MOSS LAKE LOOP
TRINITY, FL 34655-2328
Phone number: 727-290-8145
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