Individual
BENJAMIN SHIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1607 SAINT JAMES CT STE 2, TALLAHASSEE, FL 32308-5352
(850) 878-8714
(850) 878-2464
Mailing address
1607 SAINT JAMES CT STE 2, TALLAHASSEE, FL 32308-5352
(850) 878-8714
(850) 878-2464
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108528
FL
Other
Enumeration date
01/27/2015
Last updated
03/09/2018
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