Organization
SHARAD R LAKDAWALA M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHARAD R LAKDAWALA M.D. (PRESIDENT)
(813) 935-4145
Entity
Organization
Contact information
Practice address
2908 W WATERS AVE, SUITE#101, TAMPA, FL 33614-1874
(813) 935-4145
(813) 935-0550
Mailing address
2908 W WATERS AVE, SUITE#101, TAMPA, FL 33614-1874
(813) 935-4145
(813) 935-0550
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 38202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065892800
—
FL
Enumeration date
02/08/2010
Last updated
02/08/2010
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