Individual
MR. GUSTAVO H SHIMABUCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
9734 W SAMPLE RD, CORAL SPRINGS, FL 33065-4004
(954) 903-1323
(786) 664-3342
Mailing address
9734 W SAMPLE RD, CORAL SPRINGS, FL 33065-4004
(954) 903-1323
(786) 664-3342
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5203997
FL
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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