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MR. JEOUNG GYU SHIN L.M.T. NPI 1376789826


NPI Information

NPI: 1376789826
Provider Name: MR. JEOUNG GYU SHIN, L.M.T.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
2707 E GRAND RESERVE CIR
#1437
CLEARWATER, FL
ZIP 33759
Phone: (727) 729-2967
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MR. Jeoung Gyu Shin, L.M.T. is a specialist in Clearwater, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Jeoung Gyu Shin, L.M.T. NPI is 1376789826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2707 E GRAND RESERVE CIR
#1437
CLEARWATER, FL
ZIP 33759-919
Phone: (727) 729-2967

The enumeration date for this NPI number is 1/5/2009 and was last updated on 1/5/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMA46774FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.