Nimjareansuk, Waroot Shay

Nimjareansuk, Waroot Shay is an individual health care provider with primary practice located at 701 Medical Plaza Dr , Leesburg FL 34748-7313. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Nimjareansuk, Waroot Shay can be contacted via phone (352) 273-7002.

Contact Information

Primary practice address
701 Medical Plaza Dr Leesburg FL 34748-7313
Phone: (352) 273-7002
Fax: (352) 273-7388
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 303251 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS17529 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X OS17529 Florida

Profile Details

NPI number 1356878292
LBN Legal business name Nimjareansuk, Waroot Shay
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2017
Last updated Apr 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356878292 NPPES
Florida MEDICAID 111181000

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