Individual
DR. SHILPA GOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
820 PRUDENTIAL DR, SUITE 304, JACKSONVILLE, FL 32207-8210
(904) 202-3860
(904) 202-3846
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME114211
FL
208M00000X
Hospitalist Physician
240270
MA
208M00000X
Hospitalist Physician
Primary
ME114211
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003147249B
—
GA
05
—
007336900
—
FL
Enumeration date
01/28/2009
Last updated
12/09/2024
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