Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | OS13026 | FL |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS13026 | FL |
N | 207P00000X | Emergency Physician | OS13026 | FL |
N | 207Q00000X | Family Doctor | OS13026 | FL |
N | 207QS0010X | Family Doctor - Sports Medicine | OS13026 | FL |
NPI | 1548602840 |
---|---|
Provider Name | Dr. Shaun Notman |
First Address | Sarasota, FL 34277 |
Second Address | Sarasota, FL 34277 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2013 |
Last Update Date | 22/12/2019 |