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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAWN D FISHER, PA

Active Sole Proprietor

SHAWN D FISHER, PA is a Physician Assistant healthcare provider located in BB, Florida. NPI 1053846774 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BB, FL

Registration Details

NPI Number
1053846774
Provider Type
Individual
Gender
Female
NPI Issued
May 1, 2017 (9.2795974873393 yrs)
Last Updated
May 8, 2023
Licenses
0053071 (NY)
PA9113659 (FL)
Sole Proprietor
Yes

Practice Information

Address
6666 BALI HAI DRIVE
BB, FL, 33437
Browse FL providers · Browse ZIP 33437
Phone
8887896672
Fax
6468629066
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.