| Marc D. Shiman, M.d., P.a. | |
|
10075 S Jog Rd Ste 105 Boynton Beach FL 33437-3532 | |
| (954) 383-9521 | |
| Not Available |
| Full Name | Marc D. Shiman, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 10075 S Jog Rd Ste 105, Boynton Beach, Florida |
| Authorized Official Name and Position | Marc Shiman (PRESIDENT) |
| Authorized Official Contact | 9543839521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc D. Shiman, M.d., P.a. 7976 Emerald Winds Cir Boynton Beach FL 33473-7852 Ph: (954) 383-9521 | Marc D. Shiman, M.d., P.a. 10075 S Jog Rd Ste 105 Boynton Beach FL 33437-3532 Ph: (954) 383-9521 |
| NPI Number | 1801535612 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 05/31/2022 |
| Medicare PECOS PAC ID | 2466831540 |
|---|---|
| Medicare Enrollment ID | O20220621000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801535612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marc Shiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487802823 PECOS PAC ID: 5092848291 Enrollment ID: I20100809000130 |
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