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Organization

MANOJ B SHUKLA MD PA

Active
Other names
Citrus Pulmonary Consultants
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MANOJ B SHUKLA MD (PRESIDENT)
(352) 795-1999
Entity
Organization

Contact information

Practice address
1550 N SHOCKLEY LOOP, CRYSTAL RIVER, FL 34429
(352) 795-1999
(352) 795-2269
Mailing address
1550 N SHOCKLEY LOOP, CRYSTAL RIVER, FL 34429
(352) 795-1999
(352) 795-2269

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
167280
BLACK LUNG
FL
05
260295400
FL
01
39120
BLUR CROSS BLUE SHIELD FL
FL
01
C15026
MEDICARE RAILROAD
FL
Enumeration date
06/28/2006
Last updated
04/02/2026
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