DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. SHANNON OSBORNE

MEDICARE: MR. SHANNON OSBORNE
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
12255A2300XAthletic TrainerAL4152FL

General Provider Information

NPI Number : 1912350794
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SHANNON OSBORNE
Provider Business Mailing Address
First Line : 2501 SW 71ST TER
Second Line : APT 101
City : DAVIE
State : FL
Zip : 33317-7037
Country : US
Telephone Number : 334-549-4765
Fax Number :
Provider Business Practice Location Address
First Line : 7500 SW 30TH ST
Second Line :
City : DAVIE
State : FL
Zip : 33314-1020
Country : US
Telephone Number : 954-452-7071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2016
Last Update Date : 07/18/2016

Similar Medicare Providers

1659365781 — MR. RYAN S GROVE ATC
Practice Location Address:
7500 SW 30TH ST
DAVIE, FL
33314-1020
Practice Phone: 954-452-7008
Practice Fax: 954-452-7069
1205800497 — MR. TROY C. MAURER A.T.,C
Practice Location Address:
7500 SW 30TH ST
DAVIE, FL
33314-1020
Practice Phone: 954-452-7015
Practice Fax: 954-452-7069
1003933375 — MR. BENJAMIN JON WESTBY MSPT, ATC, CSCS
Practice Location Address:
7500 SW 30TH ST
DAVIE, FL
33314-1020
Practice Phone: 954-445-5457
Practice Fax:
1023135308 — MR. KEVIN PETER O'NEILL M.S., A.T.C.
Practice Location Address:
7500 SW 30TH ST
DAVIE, FL
33314-1020
Practice Phone: 954-452-7030
Practice Fax: 954-452-7069
1265709349 — NAOHISA INOUE ATC
Practice Location Address:
7500 SW 30TH ST
DAVIE, FL
33314-1020
Practice Phone: 954-452-7058
Practice Fax: 954-452-7069
1255784039 — MR. ALEXANDER RYAN GREEN ATC, LAT
Practice Location Address:
7500 SW 30TH ST
DAVIE, FL
33314-1020
Practice Phone: 610-392-9785
Practice Fax:

Directions to “ MR. SHANNON OSBORNE ” Practice Location

Language Start Address Practice Location
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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.