LATHA SHIVASHANKAR

JACKSONVILLE, FL
NPI1801845607
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: FL  ME53102)
Enumeration Date2006-05-09
Last Update Date2012-11-29
Business Address
-- LATHA SHIVASHANKAR MD
11512 LAKE MEAD AVE SUITE 201
JACKSONVILLE, FL 32256-9680
Phone number: 904-998-1448
Mailing Address
-- LATHA SHIVASHANKAR MD
11512 LAKE MEAD AVE SUITE 201
JACKSONVILLE, FL 32256
Phone number: 904-998-1448
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