Provider Demographics
NPI:1992370209
Name:SHOMER, TIGHE PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:TIGHE
Middle Name:PAUL
Last Name:SHOMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7550 SW 128TH ST
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-6102
Mailing Address - Country:US
Mailing Address - Phone:305-252-3919
Mailing Address - Fax:305-252-6100
Practice Address - Street 1:7550 SW 128TH ST
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-6102
Practice Address - Country:US
Practice Address - Phone:305-252-3919
Practice Address - Fax:305-252-6100
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME33050207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine