Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | ME83705 | FL |
NPI | 1073571964 |
---|---|
Provider Name | Dr. Sonalee K. Shroff |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Orlando, FL 32804-4623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 08/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
272473100 | (05) | FL |
I38875 | (02) | FL |