| 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 |