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Individual

DR. SHIVAKUMAR S HANUBAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1414 E MAIN ST, LEESBURG, FL 34748-5329
(352) 728-3898
(352) 728-6240
Mailing address
1414 E MAIN ST, LEESBURG, FL 34748-5329
(352) 728-3898
(352) 728-6240

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME-0062736
FL
207VG0400X
Gynecology Physician
Primary
ME-0062736
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001553588
FL
05
371347400
FL
Enumeration date
01/26/2006
Last updated
07/27/2023
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