Healthcare Provider Details

I. General information

NPI: 1821284928
Provider Name (Legal Business Name): NATALIE SHNITSER MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2007
Last Update Date: 10/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 LAKEVIEW RD
CLEARWATER FL
33756-3587
US

IV. Provider business mailing address

1251 LAKEVIEW RD
CLEARWATER FL
33756-3587
US

V. Phone/Fax

Practice location:
  • Phone: 727-441-3894
  • Fax: 727-469-8993
Mailing address:
  • Phone: 727-441-3894
  • Fax: 727-469-8993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberME78639
License Number StateFL

VIII. Authorized Official

Name: MS. MARIYAN SHNITSER
Title or Position: OFFICE MANAGER
Credential:
Phone: 727-441-3893