SHANNON OVERHOLT

ORANGE PARK, FL
NPI1730717570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: FL  155780)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-28
Last Update Date2022-06-03
Business Address
SHANNON OVERHOLT
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number: 904-639-2000
Mailing Address
SHANNON OVERHOLT
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number: