Healthcare Provider Details

I. General information

NPI: 1255837217
Provider Name (Legal Business Name): SHAWN PATRICK RIMBACH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2018
Last Update Date: 02/15/2026
Certification Date: 02/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 SE 17TH ST STE 801
OCALA FL
34471-4182
US

IV. Provider business mailing address

16936 SW 40TH CIR UNIT 801
OCALA FL
34473-3624
US

V. Phone/Fax

Practice location:
  • Phone: 352-425-4280
  • Fax: 352-540-7229
Mailing address:
  • Phone: 352-425-4280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH28951
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: