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Individual

SHAKERA MANGAROO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3476 S UNIVERSITY DR, DAVIE, FL 33328-2000
(954) 475-4400
Mailing address
3476 S UNIVERSITY DR, DAVIE, FL 33328-2000
(954) 475-4400

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary

Other

Enumeration date
09/09/2020
Last updated
08/18/2023
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