Male or Other

Mr. Thom R. Shimandle PA-C

Medical Physician Assistant in Sunrise, FL(View on Map)

Full Name

Mr. Thom R. Shimandle PA-C

NPI Number

1316992001

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/23/2006

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA 9101577

Contact
Information

Purpose

Mailing
Location

Address

206 2ND ST E
14050 NW 14TH ST

City

Bradenton
Sunrise

State

FL
FL

Postal Code

34208-1042
33323-2865

Country

US
US

Telephone Number

(941) 746-5111
(800) 424-3672

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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