Individual
SHAKUNTALA S JANWADKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
500 WINDERLEY PL, SUITE 115, MAITLAND, FL 32751-7247
(407) 875-8784
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME0086339
FL
208000000X
Pediatrics Physician
Primary
ME0086339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266525500
—
FL
Enumeration date
10/07/2005
Last updated
05/08/2012
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