Organization
COASTAL NEUROLOGICAL INSTITUE OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL TYLER SHENKMAN MD (PRESIDENT)
(727) 465-4719
Entity
Organization
Contact information
Practice address
200 2ND AVE S # 474, SAINT PETERSBURG, FL 33701-4313
(727) 465-4719
Mailing address
200 2ND AVE S # 474, SAINT PETERSBURG, FL 33701-4313
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
12/24/2015
Last updated
12/24/2015
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