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DR. DENNIS CLIVE SHIMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
13408 COLUCCIO ST, VENICE, FL 34293-4506
(941) 408-8608
Mailing address
13408 COLUCCIO ST, VENICE, FL 34293-4506
(941) 408-8608

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01663
IA

Other

Enumeration date
05/20/2009
Last updated
05/20/2009
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