Doctor Name: | JOHN A SHEWMAKER |
NPI Number: | 1285616086 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | OS8493 |
Business Practice Address: | 7106 Se Osprey St Hobe Sound, FL - 334556159 |
Business Phone Number: | 7725467027 |
Business Fax Number: | 7725467372 |
Mailing Address: | 7106 Se Osprey St, HOBE SOUND |
State: | FL |
Postal Code: | 334556159 |
Phone Number: | 7725467027 |
Fax Number: | 7725467325 |
NPI Enumeration Date: | 11/17/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS8493 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |