Healthcare Provider Details

I. General information

NPI: 1982044566
Provider Name (Legal Business Name): SHIVANI ATUL DOSHI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 W GORE ST STE 200
ORLANDO FL
32806-1014
US

IV. Provider business mailing address

19315 HAWK VALLEY DR
TAMPA FL
33647-3762
US

V. Phone/Fax

Practice location:
  • Phone: 407-537-2250
  • Fax:
Mailing address:
  • Phone: 303-356-7470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9107198
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: