Organization
NEURO-STAT
Active
Organization
NEURO-STAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL TYLER SHENKMAN MD (CEO)
(727) 330-6038
Entity
Organization
Contact information
Practice address
501 S LINCOLN AVE STE 22, CLEARWATER, FL 33756-5964
(727) 357-7828
(727) 337-7646
Mailing address
501 S LINCOLN AVE STE 22, CLEARWATER, FL 33756-5964
(727) 357-7828
(727) 337-7646
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
01/08/2024
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