person
William M Shimp, PA-C
Surgical Physician Assistant in St Augustine, Florida
NPI 1821092511

William M Shimp is a Surgical Physician Assistant based in Jacksonville, FL and is specialized in Surgical. William M Shimp practices in St Augustine, FL and has the professional credentials of PA-C. The NPI Number for William M Shimp is 1821092511 and holds a License No. PA9101052 (Florida).

The current practice location address for William M Shimp is 300 Health Park Blvd Ste 5008, St Augustine, FL and can be reached out via phone at 904-494-2394 and via fax at 904-400-6676.

Location: 300 Health Park Blvd Ste 5008, St Augustine, FL, 32204-4735
person
Provider Profile Details
NPI Number
1821092511
Provider Name
William M Shimp
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
300 Health Park Blvd Ste 5008, St Augustine, FL, 32204-4735
Phone Number
904-494-2394
Fax Number
904-400-6676
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970014848 01 MEDICARE RAILROAD
290815800 05 FL
institution
Provider Business Practice Location Address Details
Address
300 Health Park Blvd Ste 5008
City
State
Zip
32086-3705
Phone Number
904-494-2394
Fax Number
904-400-6676
person
Provider Business Mailing Address Details
Address
300 Health Park Blvd Ste 5008
City
State
Zip
32086-3705
Phone Number
904-494-2394
Fax Number
904-400-6676
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9101052 (Florida)
Definition
Definition to come...
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