Individual
VAIBHAV SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1978 US HIGHWAY 1 STE 103, ROCKLEDGE, FL 32955-3722
(321) 345-6331
(321) 345-3295
Mailing address
1978 US HIGHWAY 1 STE 103, ROCKLEDGE, FL 32955-3722
(321) 345-6331
(321) 345-3295
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME107707
FL
2084N0600X
Clinical Neurophysiology Physician
ME107707
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME107707
FL MEDICAL LICENSE
—
Enumeration date
01/22/2008
Last updated
07/02/2013
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