Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | 49156 | CO |
N | 213ES0000X | Sports Medicine | 49156 | CO |
Y | 2081S0010X | Sports Medicine | OS13075 | FL |
Y | 213ES0000X | Sports Medicine | OS13075 | FL |
NPI | 1053554261 |
---|---|
Provider Name | Dr. Eric Michael Shoemaker |
First Address | Pensacola, FL 32503-2337 |
Second Address | Pensacola, FL 32503-2337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2009 |
Last Update Date | 29/12/2015 |