Individual
HARDIK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3635 CLYDE MORRIS BLVD STE 100, PORT ORANGE, FL 32129-2349
(386) 788-1242
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-7205
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME163340
FL
Other
Enumeration date
08/31/2016
Last updated
05/20/2024
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