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Contact Information

SHANNON FALCON, MD
12902 MAGNOLIA DR.
TAMPA, FL33612
 Phone: 888-860-2778
 Fax: 813-355-5099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for SHANNON FALCON · (Female)

NPI Number 1740475920
Status Active
Credentials MD
Entity Individual
Enumeration date 09/11/2007
Last updated 05/02/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME106718
  • FL Medicaid 006305100
  • FL Other 14L46 BLUE CROSS BLUE SHIELD
  • FL Other P01135662 R&R MEDICARE
Hospital affiliation(s)
  • H LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE I - (Acute Care)
    12902 MAGNOLIA DR
    TAMPA, FL 33612
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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