Individual
NATHAN SHADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7000
Mailing address
7855 SUGAR PINE BLVD, LAKELAND, FL 33810-1387
Taxonomy
Speciality
Code
Description
License number
State
2471C1106X
Cardiac-Interventional Technology Radiologic Technologist
Primary
CRT71794
FL
Other
Enumeration date
03/09/2013
Last updated
03/09/2013
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