Individual
LILLA SHKOLNIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4548 DEER TRAIL BLVD, SARASOTA, FL 34238-5608
(941) 924-0049
(941) 924-0049
Mailing address
4548 DEER TRAIL BLVD, SARASOTA, FL 34238-5608
(941) 924-0049
(941) 924-0049
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME43831
FL
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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