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NPI Code Detail

MEDICARE: SHAVON SIRMONES

MEDICARE:   SHAVON  SIRMONES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1881097020
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAVON SIRMONES
Provider Business Mailing Address
First Line : 7552 NAVARRE PKWY UNIT 36
Second Line :
City : NAVARRE
State : FL
Zip : 32566-7309
Country : US
Telephone Number : 850-607-6910
Fax Number : 850-607-6932
Provider Business Practice Location Address
First Line : 7552 NAVARRE PKWY UNIT 36
Second Line :
City : NAVARRE
State : FL
Zip : 32566-7309
Country : US
Telephone Number : 850-607-6910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2014
Last Update Date : 07/26/2021

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Directions to “ SHAVON SIRMONES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.