Shannon River Enterprises,inc.
NPI #1932378056 in Gainesville, Florida
Provider Information
- NPI Number
- 1932378056
- Entity Type
- Organization
- Organization Name
- Shannon River Enterprises,inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Feb 22, 2008
- Last Updated
- Dec 4, 2008
Practice Location
- Address
- 6830 NW 11TH PL
- Address 2
- SUITE C
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32605-4254
- Phone
- (352) 331-1933
Authorized Official
- Name
- MR. WILLIAM PAUL HOGAN, L.D.O.
- Title
- OWNER/OPTICIAN
- Phone
- (352) 331-1933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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