Healthcare Provider Details

I. General information

NPI: 1770823775
Provider Name (Legal Business Name): TONIA SHATZEL DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2013
Last Update Date: 02/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 SPIRES LN UNIT 14A
SANTA ROSA BEACH FL
32459-8700
US

IV. Provider business mailing address

56 SPIRES LN UNIT 14A
SANTA ROSA BEACH FL
32459-8700
US

V. Phone/Fax

Practice location:
  • Phone: 678-612-7038
  • Fax:
Mailing address:
  • Phone: 678-612-7038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License NumberVM11897
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: