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General NPI Number Information
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NPI Number | 1184861726
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Entity Type | Organization
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Legal Business Name | JOSEPH SHUMAN MD PA
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Dates
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Enumeration Date | 01/20/2009
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Last Update Date | 01/20/2009
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Provider Practice Location Address
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Address Line | 7150 W 20TH AVE SUITE 408
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City | HIALEAH
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State | FL
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Zip | 33016-5529
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Country | US
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Telephone | 305-821-6368
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Fax | 305-822-6697
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Provider Business Mailing Address
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Address Line | 7150 W 20TH AVE SUITE 408
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City | HIALEAH
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State | FL
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Zip | 33016-5529
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Country | US
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Telephone | 305-821-6368
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Fax | 305-822-6697
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH SHUMAN
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Credential | MD
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Telephone | 305-821-6368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0018510
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License Number State | FL
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