Healthcare Provider Details

I. General information

NPI: 1497723480
Provider Name (Legal Business Name): SHAWN SARNAIK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHAWN BECK

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 E FLETCHER AVE STE 100
TAMPA FL
33613-4613
US

IV. Provider business mailing address

2901 58TH AVE N
ST. PETERSBURG FL
33714-1326
US

V. Phone/Fax

Practice location:
  • Phone: 813-467-4977
  • Fax: 813-497-2377
Mailing address:
  • Phone: 727-822-4300
  • Fax: 727-456-1399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9103911
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: