Individual
SHRUTI SANJAY VAGHASIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-7785
Mailing address
4073 FESTIVAL POINTE BLVD, MULBERRY, FL 33860-4514
(863) 274-8642
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
UO9359
FL
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/13/2023
Last updated
07/01/2023
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