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)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