Individual
MICHAEL IAN SHIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10075 S JOG RD, STE 306, BOYNTON BEACH, FL 33437-3535
(561) 424-7546
(561) 244-6133
Mailing address
10075 S JOG RD STE 306, BOYNTON BEACH, FL 33437-3537
(561) 424-7546
(561) 244-6133
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME114770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HO539Y
MEDICARE PTAN
FL
Enumeration date
03/24/2009
Last updated
10/03/2022
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