Shimoda, Kim
Shimoda, Kim is an individual health care provider with primary practice located at 9981 S Healthpark Dr , Fort Myers FL 33908-3618. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Shimoda, Kim can be contacted via phone (239) 343-5333.Contact Information
Primary practice address
9981 S Healthpark Dr
Fort Myers FL 33908-3618
Phone: (239) 343-5333
Fax: (239) 343-5321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY70008 | Florida |
Profile Details
| NPI number | 1013926898 |
|---|---|
| LBN Legal business name | Shimoda, Kim |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Mar 30th, 2021 - about 3 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013926898 | NPPES |
| Florida | MEDICAID | 102622500 |
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