Individual provider · Type 1 NPI
Logan T. Shannon, DPM
Foot & Ankle Surgery Podiatrist · Sarasota, FL
NPI number
1548757800
Active
Practice location
943 S Beneva Rd Ste 113
Sarasota, FL 34232-2471
Fax (941) 957-3641
Mailing address
943 S Beneva Rd Ste 306
Sarasota, FL 34232-2499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 0103301320 (VA) |
| Foot Surgery Podiatrist | 213ES0131X | 0103301320 (VA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO4392 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1548757800
Logan T. Shannon, DPM's National Provider Identifier is 1548757800, issued on Apr 21, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Sarasota, FL. The record was last updated on Oct 18, 2024.