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1770856080
SHASHIKALA DWIVEDI
TALLAHASSEE, FL
NPI
1770856080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9106431)
Enumeration Date
2012-02-16
Last Update Date
2014-02-06
Business Address
-- SHASHIKALA DWIVEDI P.A.
1401 CENTERVILLE RD SUITE300
TALLAHASSEE, FL 32308
Phone number: 850-558-1233
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Mailing Address
-- SHASHIKALA DWIVEDI P.A.
3774 SW 60TH TER
DAVIE, FL 33314-2530
Phone number: 954-288-9839
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