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Organization
WISEBUDDHA ENTERPRISES
Active
Organization
WISEBUDDHA ENTERPRISES
Active
Other names
Shah Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAULIK SHAH MD PHD (CEO)
(352) 222-9636
Entity
Organization
Contact information
Practice address
7550 W UNIVERSITY AVE, SUITE B, GAINESVILLE, FL 32607-7607
(352) 235-9636
(877) 465-6936
Mailing address
7550 W UNIVERSITY AVE, SUITE B, GAINESVILLE, FL 32607-7607
(352) 235-9636
(877) 465-6936
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
ME107485
FL
207SG0201X
Clinical Genetics (M.D.) Physician
ME107485
FL
225100000X
Physical Therapist
—
—
261QR0404X
Cardiac Rehabilitation Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
10/03/2012
Last updated
08/21/2017
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