IndividualActive
Nathan Shadd
NPI 1306187703 · Cardiac-Interventional Technology Radiologic Technologist · Tampa, FL
Provider details
- NPI number
- 1306187703
- Entity type
- Individual
- Primary specialty
- Cardiac-Interventional Technology Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- CRT71794 (FL)
Mailing address
7855 Sugar Pine Blvd
Lakeland, FL 33810-1387
Registry dates
- Enumerated
- 2013-03-09
- Last updated
- 2013-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.