Individual
MS. KUNJ H SHROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 W UNDERWOOD ST, ORLANDO, FL 32806
(407) 648-3800
(407) 425-5203
Mailing address
22 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 648-3800
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9110834
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100517000
—
FL
Enumeration date
11/03/2017
Last updated
01/09/2019
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