Individual
SHIVANAND VIJAY PERSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7050 W PALMETTO PARK RD STE 30, BOCA RATON, FL 33433-3463
(954) 425-9154
(866) 981-1882
Mailing address
7050 W PALMETTO PARK RD STE 30, BOCA RATON, FL 33433-3463
(954) 425-9154
(866) 981-1882
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME135224
FL
Other
Enumeration date
05/22/2018
Last updated
08/09/2022
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