MEDICARE: DR. JOCELYN FLORENDO SHIMEK D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	34-00-3263S	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255336459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOCELYN FLORENDO SHIMEK D.O.

Provider Business Mailing Address
First Line	:	9471 MARKET ST
Second Line	:	STE B
City	:	NORTH LIMA
State	:	OH
Zip	:	44452-8702
Country	:	US
Telephone Number	:	330-729-2388
Fax Number	:	330-629-6468

Provider Business Practice Location Address
First Line	:	564 E 2ND ST
Second Line	:
City	:	SALEM
State	:	OH
Zip	:	44460
Country	:	US
Telephone Number	:	234-567-8150
Fax Number	:	234-567-8189

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	08/13/2018

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Directions to “ DR. JOCELYN FLORENDO SHIMEK D.O.” Practice Location

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