Shannon C Delong (NPI# 1497752679, PAC ID# 0345264263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1497752679 |
| PAC ID by PECOS | 0345264263 |
| Professional Enrollment ID | I20060118000971 |
| Full Name | Shannon C Delong |
| Organization Legal Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Address |
2600 Westhall Ln Fl 4 Maitland FL 32751-7102 |
| Phone Number | 4072002700 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0749186153 |
| Number of Group Practice Members | 823 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100007 | FLORIDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2600 Westhall Ln, Fl 4, Maitland, FL 32751-7102 | 4072002700 | FLORIDA HOSPITAL MEDICAL GROUP INC |
| 2000 Fowler Grove Blvd, Winter Garden, FL 34787-5050 | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Organization Legal Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Physicians | 1050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Kay Kaufmann | Certified Nurse Midwife (cnm) | Florida Hospital Medical Group Inc | 235 E Princeton St, Suite 200, Orlando, FL 32804-5555 |
| Jonathan Lucking | Colorectal Surgery (proctology) | Florida Hospital Medical Group Inc | 2415 Norange Ave, Suite 300, Orlando, FL 32804 |
| Amanda Nadeau | Family Medicine | Florida Hospital Medical Group Inc | 2000 Fowler Grove Blvd, Fl 3, Winter Garden, FL 34787-5050 |
| Amber Shepard | Family Medicine | Florida Hospital Medical Group Inc | 1255 State Rd 60, Suite 500, Lake Wales, FL 33853-4302 |
| Jason Smith | General Surgery | Florida Hospital Medical Group Inc | 1290 Waterman Way, Tavares, FL 32778-5229 |
| Buck Andreu Scott | General Surgery | Florida Hospital Medical Group Inc | 407 S 11th St, Lake Wales, FL 33853-4243 |
| Mitchell Machado | Medical Oncology | Florida Hospital Medical Group Inc | 7975 Lake Underhill Rd, Suite 220b, Orlando, FL 32822-8202 |
| Lennie Calderon | Nurse Practitioner | Florida Hospital Medical Group Inc | 1300 W Oak St, Kissimmee, FL 34741-4024 |
| Devlin H O'connor | Family Medicine | Florida Hospital Medical Group Inc | 3330 Waterman Way, Tavares, FL 32778-5250 |
| Tutu Cheng | Plastic and Reconstructive Surgery | Florida Hospital Medical Group Inc | 410 Lionel Way, Suite 204, Davenport, FL 33837-7809 |
| Street Address |
2600 WESTHALL LN FL 4 |
| City | MAITLAND |
| State | FL |
| Zip | 32751-7102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Browning | Family Medicine | Florida Hospital Medical Group Inc | 2600 Westhall Ln, Fl 4, Maitland, FL 32751-7102 |
| Audrey Wong | Nurse Practitioner | Florida Hospital Medical Group Inc | 2600 Westhall Ln, Fl 4, Maitland, FL 32751-7102 |
| Milton J Arana | Physician Assistant | Florida Hospital Medical Group Inc | 2600 Westhall Ln, Fl 4, Maitland, FL 32751-7102 |
| Matthew P Diehl | Physician Assistant | Florida Hospital Medical Group Inc | 2600 Westhall Ln, Fl 4, Maitland, FL 32751-7102 |
| David D Burns | Physician Assistant | Florida Hospital Medical Group Inc | 2600 Westhall Ln, Fl 4, Maitland, FL 32751-7102 |
| Juan Carlos Varela | Hematology/oncology | Florida Hospital Medical Group Inc | 2600 Westhall Ln, Fl 4, Maitland, FL 32751-7102 |
| Deborah Lee Brady-hull | Nurse Practitioner | Florida Hospital Medical Group Inc | 2600 Westhall Ln, Fl 4, Maitland, FL 32751-7102 |
| Derl Raymond Buzon | Nurse Practitioner | Florida Hospital Medical Group Inc | 2600 Westhall Ln, Fl 4, Maitland, FL 32751-7102 |
| Randi Ann Rodrigues | Family Medicine | Florida Hospital Medical Group Inc | 2600 Westhall Ln, Fl 4, Maitland, FL 32751-7102 |
| Charles Lammers | Psychologist, Clinical | Florida Hospital Medical Group Inc | 2600 Westhall Ln, Fl 4, Maitland, FL 32751-7102 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean Ruth Fairchild | Physician Assistant | Steve Nguyen Md Pa | 1640 N Maitland Ave, Suite 1000, Maitland, FL 32751-3320 |
| Marilyne Etienne | Physician Assistant | Steve Nguyen Md Pa | 1640 N Maitland Ave, Suite 1000, Maitland, FL 32751-3320 |
| Amanda L Rogan | Physician Assistant | Steve Nguyen Md Pa | 1640 N Maitland Ave, Suite 1000, Maitland, FL 32751-3320 |
| Kelly A Higgins | Nurse Practitioner | 1941 Mohican Trl, Maitland, FL 32751-3729 | |
| George J Hopkins Iii | Certified Registered Nurse Anesthetist (crna) | Mnh Gi Anesthesia and Pain Management LLC | 1101 N Maitland Ave, Maitland, FL 32751-4346 |
| Pamela A Barden | Certified Registered Nurse Anesthetist (crna) | Mnh Gi Anesthesia and Pain Management LLC | 1101 N Maitland Ave, Maitland, FL 32751-4346 |
| Allison M Amore | Obstetrics/gynecology | Florida Woman Care LLC | 531 N Maitland Ave, Maitland, FL 32751-4421 |
| John W Van Wert | Obstetrics/gynecology | Florida Woman Care LLC | 531 N Maitland Ave, Maitland, FL 32751-4421 |
| Rita E Eye | Obstetrics/gynecology | Florida Woman Care LLC | 531 N Maitland Ave, Maitland, FL 32751-4421 |
| Lisa S Felix | Certified Nurse Midwife (cnm) | Florida Woman Care LLC | 531 N Maitland Ave, Maitland, FL 32751-4421 |
| Find all physicians in zip 32751 | |||
| City | MAITLAND |
| Zip Code | 32751 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MAITLAND + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shannon C Delong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.