Individual
SHAILA SIRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-4810
Mailing address
7115 NICOLE LN, LARGO, FL 33771-4772
(727) 643-2535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN16509
FL
208000000X
Pediatrics Physician
Primary
TRN16509
FL
Other
Enumeration date
06/16/2011
Last updated
07/14/2014
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