Individual
JOHN H SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 STATE STREET EAST, SUITE 201, OLDSMAR, FL 34677
(813) 814-9251
(813) 814-9261
Mailing address
PO BOX 2220, OLDSMAR, FL 34677-7220
(813) 814-9251
(813) 814-9261
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0063979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373583400
—
FL
Enumeration date
08/19/2005
Last updated
02/09/2021
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