Individual
LUDMILA SHIMANOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1157 JONAH DR, NORTH PORT, FL 34289-9496
(941) 999-0080
Mailing address
1157 JONAH DR, NORTH PORT, FL 34289-9496
(941) 999-0080
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME118133
FL
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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