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Individual

GIRISH S SHROFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
820 PRUDENTIAL DR STE 112, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32207-8204
(904) 396-5996
(904) 398-2480
Mailing address
PO BOX 43667, JACKSONVILLE, FL 32203-3667
(904) 398-3760
(904) 398-2480

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME68857
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME68857
FL
207UN0901X
Nuclear Cardiology Physician
ME68857
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060071305
RAILROAD MEDICARE
FL
05
379675200
FL
Enumeration date
04/25/2006
Last updated
11/18/2015
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