Individual
DR. SWATI M SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
9765 SAN JOSE BLVD STE 103, JACKSONVILLE, FL 32257-5467
(904) 517-8222
(904) 517-1222
Mailing address
2255 GLADES RD STE 228W, BOCA RATON, FL 33431-7391
(904) 517-8222
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME98418
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163413836A
—
GA
05
—
2784947-00
—
FL
01
—
P01321209
RAILROAD MEDICARE
FL
Enumeration date
06/14/2007
Last updated
09/26/2024
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