Most Relevant Information
Provider Data
| NPI Number: | 1003216821 |
| Provider Name: | LUDMILA SHIMANOVSKY M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 261QP2300X |
| Specialty: | Clinic/Center |
| License Number: | ME118133 |
Most Important Dates
| Enumeration Date: | 08/28/2014 |
| Last Updated: | 08/28/2014 |
Provider Practice Location
1157 JONAH DR
NORTH PORT
FL
342899496
Practice Location Phone/Fax
| Phone: | 9419990080 |
| Fax: |
Provider Mailing Location
1157 JONAH DR
NORTH PORT
FL
342899496
Provider Mailing Phone/Fax
| Phone: | 9419990080 |
| Fax: |