Healthcare Provider Details

I. General information

NPI: 1225993983
Provider Name (Legal Business Name): SHIRLEY SZAJNERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S PINE ISLAND RD
PLANTATION FL
33324-2673
US

IV. Provider business mailing address

551 N UNIVERSITY DR
PLANTATION FL
33324-1482
US

V. Phone/Fax

Practice location:
  • Phone: 954-860-3742
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number25636
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: