Frederick Brett Shannon, DO | |
15821 Hollyfern Ct, Ft. Myers, FL 33908 | |
(239) 432-5100 | |
(239) 432-0629 |
Full Name | Frederick Brett Shannon |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 15821 Hollyfern Ct, Ft. Myers, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518971225 | NPI | - | NPPES |
372036500 | Medicaid | FL | |
2017372-007 | Other | FL | CIGNA |
4283415 | Other | FL | AETNA |
80729 | Other | FL | BLUE CROSS BLUE SHIELD |
207270 | Other | FL | AVMED |
195066 | Other | FL | AMERIGROUP |
16065 | Other | FL | STAYWELL HEALTHY KIDS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | OS4993 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Frederick Brett Shannon, DO 15880 Summerlin Rd, Ste 300 Pmb 322, Fort Myers, FL 33908-9612 Ph: (239) 432-5100 | Frederick Brett Shannon, DO 15821 Hollyfern Ct, Ft. Myers, FL 33908 Ph: (239) 432-5100 |
John Alexander Churchill, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 15821 Hollyfern Ct, Ft. Myers, FL 33908 Phone: 239-432-5100 Fax: 239-432-0629 |