Coastal Neurological Institue of Florida

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

COASTAL NEUROLOGICAL INSTITUE OF FLORIDA

Practice address

200 2ND Ave S # 474
Saint Petersburg, FL 33701-4313

Phone

(727) 465-4719

NPI assigned

Dec 24, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carl Tyler Shenkman, MD

Title

President

Phone

(727) 465-4719

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450915200000",
    "number": "1609231216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 2ND AVE S # 474",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 2ND AVE S # 474",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014313",
            "telephone_number": "727-465-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL NEUROLOGICAL INSTITUE OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-24",
        "last_updated": "2015-12-24",
        "status": "A",
        "authorized_official_last_name": "SHENKMAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-465-4719",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.