Provider Demographics
NPI:1134148141
Name:NEVEAUX, SHYLER L (AP)
Entity type:Individual
Prefix:MS
First Name:SHYLER
Middle Name:L
Last Name:NEVEAUX
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 W BAY DR
Mailing Address - Street 2:SUITE 116
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-4900
Mailing Address - Country:US
Mailing Address - Phone:727-586-0277
Mailing Address - Fax:727-586-0277
Practice Address - Street 1:2401 W BAY DR
Practice Address - Street 2:SUITE 116
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-4900
Practice Address - Country:US
Practice Address - Phone:727-586-0277
Practice Address - Fax:727-586-0277
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP873171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAP873OtherSTATE