Individual
MRS. SHIVALI P MANIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 PLATINUM PT, LAKE MARY, FL 32746-4871
(407) 206-4500
(407) 643-2802
Mailing address
701 PLATINUM PT, LAKE MARY, FL 32746-4871
(407) 206-4500
(407) 643-2802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9108970
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9108970
FL
Other
Enumeration date
11/09/2015
Last updated
04/10/2024
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