Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shantar Ornella Nicholas I

Individual provider Specialist · NPI 1649094665

Shantar Ornella Nicholas I is a Specialist in Tamarac, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

6412 N University Dr Ste 117
Tamarac, FL 33321-4002
Phone: (954) 991-9359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1649094665
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 15, 2024
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024

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