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Organization
N SHAPE & HEALTH MEDICINE LLC
Active
Organization
N SHAPE & HEALTH MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SHNOUDA MD (OWNER)
(813) 443-1448
Entity
Organization
Contact information
Practice address
4691 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 443-1443
Mailing address
4691 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 443-1443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME104671
MEDICAL LICENSE
FL
Enumeration date
07/30/2019
Last updated
12/01/2020
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