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Individual

SUNNY SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11215 METRO PKWY, FORT MYERS, FL 33966-1206
(239) 208-2212
(239) 208-3994
Mailing address
1147 NW 64TH TER, GAINESVILLE, FL 32605-4218
(352) 333-5982

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
DR.0073131
CO
2084P0800X
Psychiatry Physician
2025031712
MO
2084P0800X
Psychiatry Physician
Primary
UO7234
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/27/2020
Last updated
09/05/2025
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