| Coastal Neurological Institue Of Florida | |
|
200 2nd Ave S # 474 Saint Petersburg FL 33701-4313 | |
| (727) 465-4719 | |
| Not Available |
| Full Name | Coastal Neurological Institue Of Florida |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 200 2nd Ave S # 474, Saint Petersburg, Florida |
| Authorized Official Name and Position | Carl Tyler Shenkman (PRESIDENT) |
| Authorized Official Contact | 7274654719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Neurological Institue Of Florida 200 2nd Ave S # 474 Saint Petersburg FL 33701-4313 Ph: () - | Coastal Neurological Institue Of Florida 200 2nd Ave S # 474 Saint Petersburg FL 33701-4313 Ph: (727) 465-4719 |
| NPI Number | 1609231216 |
|---|---|
| Provider Enumeration Date | 12/24/2015 |
| Last Update Date | 12/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609231216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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