Individual
WILLIAM M SHIMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 HEALTH PARK BLVD STE 5008, ST AUGUSTINE, FL 32086-3705
(904) 494-2394
(904) 400-6676
Mailing address
1824 KING ST STE 200, JACKSONVILLE, FL 32204-4736
(904) 384-3343
(904) 400-6671
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9101052
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9101052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124917400
—
FL
Enumeration date
06/09/2005
Last updated
05/15/2026
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