MEDICARE: MARC SHIMAN

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	UNKNOWN	FL

General Provider Information

NPI Number	:	1487802823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARC SHIMAN

Provider Business Mailing Address
First Line	:	6056 BOYNTON BEACH BLVD
Second Line	:	SUITE 145
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3584
Country	:	US
Telephone Number	:	561-737-9227
Fax Number	:

Provider Business Practice Location Address
First Line	:	6056 BOYNTON BEACH BLVD
Second Line	:	SUITE 145
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3584
Country	:	US
Telephone Number	:	561-737-9227
Fax Number	:

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

Provider Enumeration Date	:	08/27/2008
Last Update Date	:	11/23/2010

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Directions to “ MARC SHIMAN ” Practice Location

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