Individual
DILIP SHAHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
130 PABLO ST, LAKELAND, FL 33803-3818
(863) 687-1321
(863) 284-1786
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MEDICAL STAFF OFFICE, LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105801
FL
Other
Enumeration date
01/25/2011
Last updated
07/22/2022
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