Provider Demographics
NPI:1821284928
Name:NATALIE SHNITSER MD PA
Entity Type:Organization
Organization Name:NATALIE SHNITSER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHNITSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-441-3893
Mailing Address - Street 1:1251 LAKEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3587
Mailing Address - Country:US
Mailing Address - Phone:727-441-3894
Mailing Address - Fax:727-469-8993
Practice Address - Street 1:1251 LAKEVIEW RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3587
Practice Address - Country:US
Practice Address - Phone:727-441-3894
Practice Address - Fax:727-469-8993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78639173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG84861OtherUPIN
FLK9056Medicare PIN