Individual
AMBER SHAKIRA TAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5398 PARK ST N, ST PETERSBURG, FL 33709-1041
(727) 544-1441
(727) 545-8263
Mailing address
5398 PARK ST N, ST PETERSBURG, FL 33709-1041
(727) 544-1441
(727) 545-8263
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS11158
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003854500
—
FL
Enumeration date
10/08/2009
Last updated
04/12/2017
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