Individual provider · Type 1 NPI

Shantar Ornella Nicholas I

Specialist · Tamarac, FL

NPI number 1649094665 Active

Practice location

6412 N University Dr Ste 117
Tamarac, FL 33321-4002

Call (954) 991-9359 Map

Mailing address

5770 NW 60th Ave Apt E103
Tamarac, FL 33319-2446

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1649094665

Shantar Ornella Nicholas I's National Provider Identifier is 1649094665, issued on Nov 15, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tamarac, FL. The record was last updated on Nov 15, 2024.