SHIVAM KHOSLA

ORANGE PARK, FL
NPI1356082044
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: FL  OS24072)
Enumeration Date2022-04-05
Last Update Date2026-08-11
Business Address
SHIVAM KHOSLA DO
2021 PROFESSIONAL CENTER DR STE 101
ORANGE PARK, FL 32073-4461
Phone number: 904-213-9210
Mailing Address
SHIVAM KHOSLA DO
2021 PROFESSIONAL CENTER DR STE 101
ORANGE PARK, FL 32073-4461
Phone number:
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