Individual
IVAN ALEKSANDR SHATKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-7490
Mailing address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-7490
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME128393
FL
Other
Enumeration date
03/27/2011
Last updated
07/20/2016
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