Logan Shannon, DPM

NPI 1548757800 · on the registry since 2018

Practice

Address: 943 S Beneva Rd Ste 113
Sarasota, FL 34232
Phone: (941) 316-0133
Fax: (941) 957-3641
Organisation at this address: Andrew J. Martineau Dmd Pa
Intercoastal Medical Group Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 25

Registry record

Primary taxonomy: 213ES0103X
213ES0103X
Also registered as: 213E00000X
213ES0131X
Licence states on file: VA, FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-10-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida