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Organization
NICHI ENTERPRISES INC
Active
Organization
NICHI ENTERPRISES INC
Active
Other names
Central Florida Personal Injury & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED HADI SHAH MD (PRESIDENT)
(407) 347-8339
Entity
Organization
Contact information
Practice address
1151 BLACKWOOD AVE, SUITE 170, OCOEE, FL 34761-4550
(407) 347-8339
(407) 347-8394
Mailing address
1151 BLACKWOOD AVE, SUITE 170, OCOEE, FL 34761-4550
(407) 347-8339
(407) 347-8394
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME108175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003696100
—
FL
Enumeration date
04/01/2011
Last updated
08/25/2011
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