Provider Demographics
NPI:1548602840
Name:NOTMAN, SHAUN (DO)
Entity type:Individual
Prefix:DR
First Name:SHAUN
Middle Name:
Last Name:NOTMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8470 COOPER CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34201-2020
Mailing Address - Country:US
Mailing Address - Phone:941-500-0116
Mailing Address - Fax:866-990-8485
Practice Address - Street 1:8470 COOPER CREEK BLVD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PARK
Practice Address - State:FL
Practice Address - Zip Code:34201-2020
Practice Address - Country:US
Practice Address - Phone:941-500-0116
Practice Address - Fax:866-990-8485
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-27
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13026204C00000X, 204D00000X, 207Q00000X, 207QS0010X, 204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine