Individual
MONA NANDKISHOR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1015 US HIGHWAY 19, HOLIDAY, FL 34691-5636
(727) 935-1144
Mailing address
12858 BERRYPICK TRL, ODESSA, FL 33556-3782
(727) 421-5145
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
UO4472
FL
Other
Enumeration date
07/17/2015
Last updated
02/28/2024
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