VAN SHANTHARAM

JACKSONVILLE, FL
NPI1164497186
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: FL  ME0035945)
Enumeration Date2006-02-22
Last Update Date2007-07-08
Business Address
Dr. VAN SHANTHARAM M.D.
2585 HERSCHEL ST
JACKSONVILLE, FL 32204-4557
Phone number: 904-388-2678
Mailing Address
Dr. VAN SHANTHARAM M.D.
2585 HERSCHEL ST
JACKSONVILLE, FL 32204-4557
Phone number: 904-388-2678
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