MEDICARE: DR. AMOS E SHIMONI DC

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	111N00000X	Chiropractor	CH10200	FL

General Provider Information

NPI Number	:	1598094484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMOS E SHIMONI DC

Provider Business Mailing Address
First Line	:	108 PARK PLACE BLVD STE B
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-6877
Country	:	US
Telephone Number	:	863-353-6145
Fax Number	:	863-353-6145

Provider Business Practice Location Address
First Line	:	4125 HUNTERS PARK LN STE 117
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-7615
Country	:	US
Telephone Number	:	845-344-1211
Fax Number	:	845-344-4045

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

Provider Enumeration Date	:	12/23/2009
Last Update Date	:	03/10/2020

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Directions to “ DR. AMOS E SHIMONI DC” Practice Location

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