Basic Information
| Provider Information | |||||||||
| NPI: | 1548602840 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NOTMAN | ||||||||
| FirstName: | SHAUN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1700 SOUTH TAMIAMI TRAIL | ||||||||
| Address2: | |||||||||
| City: | SARASOTA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 34277 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9419177408 | ||||||||
| FaxNumber: | 9419178551 | ||||||||
| Practice Location | |||||||||
| Address1: | 1700 SOUTH TAMIAMI TRL | ||||||||
| Address2: | |||||||||
| City: | SARASOTA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 34277 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9419177408 | ||||||||
| FaxNumber: | 9419178551 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2013 | ||||||||
| LastUpdateDate: | 12/22/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/22/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 204D00000X | OS13026 | FL | N | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine & OMM | 207P00000X | OS13026 | FL | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207Q00000X | OS13026 | FL | N | Allopathic & Osteopathic Physicians | Family Medicine | 207QS0010X | OS13026 | FL | N | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine | 204C00000X | OS13026 | FL | Y | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine, Sports Medicine |
No ID Information.