Healthcare Provider Details

I. General information

NPI: 1225957533
Provider Name (Legal Business Name): SHANNON LINDER ELLER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 CONGRESS PARK DR STE 180
DELRAY BEACH FL
33445-4707
US

IV. Provider business mailing address

8485 WATERCREST CIR E
PARKLAND FL
33076-2856
US

V. Phone/Fax

Practice location:
  • Phone: 954-599-7761
  • Fax:
Mailing address:
  • Phone: 954-599-7761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9663988
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: