Organization
SUPRIYA SHAH MD PA
Active
Organization
SUPRIYA SHAH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SUPRIYA SHAH MD (DIRECTOR)
(937) 266-5188
Entity
Organization
Contact information
Practice address
831 S STATE ROAD 434, ALTAMONTE SPRINGS, FL 32714-3502
(937) 266-5188
Mailing address
13164 BOVET AVE, ORLANDO, FL 32827-7957
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/14/2022
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