Individual
MR. JEOUNG GYU SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
2707 E GRAND RESERVE CIR, #1437, CLEARWATER, FL 33759-4919
(727) 729-2967
Mailing address
2707 EAST GRAND RESERVE CIRCLE, #1437, CLEARWATER, FL 33759
(727) 729-2967
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA46774
FL
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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