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Individual

CASSANDRA KLEBOUS SHRIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827-7402
(407) 567-4000
Mailing address
14824 BONNYBRIDGE DR, ORLANDO, FL 32826-4117
(410) 596-4980

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
PA9110739
FL

Other

Enumeration date
10/11/2017
Last updated
03/15/2022
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