Doctor Name: | MISS SHEREZA NYREE ABDOOL |
NPI Number: | 1205038049 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 241634 |
Business Practice Address: | 1501 S Pinellas Ave Suites O & P Tarpon Springs, FL - 346891955 |
Business Phone Number: | 7279405278 |
Business Fax Number: | 8134643113 |
Mailing Address: | 1501 S Pinellas Ave, Suites O & P TARPON SPRINGS |
State: | FL |
Postal Code: | 346891955 |
Phone Number: | 7279405278 |
Fax Number: | 8134643113 |
NPI Enumeration Date: | 06/04/2007 |
NPI Last Update Date: | 04/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 241634 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |