Individual
MS. SHIVANI MATHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
2906 17TH ST, SAINT CLOUD, FL 34769-6006
(407) 892-2135
Mailing address
2906 17TH ST, SAINT CLOUD, FL 34769-6006
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
182802
FL
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
05/24/2023
Last updated
06/01/2023
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