SHADRICK KRALIK (NPI# 1588181358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588181358 |
| Entity Type | Individual |
| Full Name | SHADRICK KRALIK |
| Credential | MD |
| Practice Address |
1700 3rd Ave W Bradenton FL 34205-5946 |
| Mailing Address |
330 S Pineapple Ave Ste 110 Sarasota FL 34236-7020 |
| Practice Telephone | 9412012671 |
| Practice Fax Number | 7276741317 |
| Mailing Telephone | 9412012671 |
| Mailing Fax Number | 7276741317 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME144153 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1700 3RD AVE W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205-5946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710477245 | Westminster Senior Care Pharmacy, LLC | Pharmacy | 1700 3rd Ave W, Bradenton, FL 34205-5946 | 2018-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| Find all providers in zip 34205 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891166435 | Synergy Medical LLC | General Practice | 6156 53rd Ave E, Bradenton, FL 34203-9707 | 2015-10-08 |
| 1013144708 | Frantz Simeon | General Practice | 6540 Anchor Loop Apt 104, Bradenton, FL 34212-4414 | 2009-06-19 |
| 1215148457 | Jaime Francisco Rubio | General Practice | 2114 Manatee Ave E, Bradenton, FL 34208 | 2007-05-26 |
| 1609889567 | John Andrew Pfeilsticker | General Practice | 6302 Manatee Ave W, Suite I-2, Bradenton, FL 34209-2377 | 2006-08-14 |
| 1962482117 | Lindy Allison Taylor | General Practice | 7612 Senrab Dr, Bradenton, FL 34209 | 2006-01-21 |
| 1548770118 | Taylor Mobile Med | General Practice | 7612 Senrab Dr, Bradenton, FL 34209-3228 | 2017-10-09 |
| 1003270109 | Ali Zaidi | General Practice | 206 2nd St E, Bradenton, FL 34208-1042 | 2016-04-05 |
| 1538559885 | Dr. Raul Correa | General Practice | 2505 Manatee Ave W, Bradenton, FL 34205-4935 | 2015-01-26 |
| 1376962035 | Sheppard Peng | General Practice | 206 2nd St E, Bradenton, FL 34208-1042 | 2014-04-10 |
| 1972936375 | Clinica Dr Rubio LLC | General Practice | 2114 Manatee Ave E, Bradenton, FL 34208 | 2013-08-21 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.