Individual
SHWETANSHU M SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 N LAKEMONT AVE STE 2300, WINTER PARK, FL 32792-3208
(321) 444-6560
(407) 960-1902
Mailing address
201 N LAKEMONT AVE STE 2300, WINTER PARK, FL 32792-3208
(321) 444-6560
(407) 960-1902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C56215
CA
207R00000X
Internal Medicine Physician
MT187880
PA
208M00000X
Hospitalist Physician
Primary
ME104988
FL
Other
Enumeration date
06/29/2007
Last updated
10/22/2015
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