# SHIM MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093356545
- **Authorized official:** JOHN H. SHIM MD (PRESIDENT)
- **Authorized official phone:** (813) 814-9251

## Contact information

- **Practice address:** 12780 RACE TRACK RD STE 200, TAMPA, FL 33626-1395
- **Practice address phone:** (813) 814-9251
- **Practice address fax:** (813) 814-9261
- **Mailing address:** 12780 RACE TRACK RD STE 200, TAMPA, FL 33626-1395
- **Mailing address phone:** (813) 814-9251
- **Mailing address fax:** (813) 814-9261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2019
- **Last updated:** 10/07/2019