Individual
MR. SHUAIB AKBARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
45390 GREEN AVE, CALLAHAN, FL 32011-3711
(904) 879-1223
(904) 879-4986
Mailing address
PO BOX 1609, CALLAHAN, FL 32011-1609
(904) 879-1223
(904) 879-4986
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA21853
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA21853
STATE OF FLORIDA LICENSE BUREAU
FL
Enumeration date
06/24/2010
Last updated
05/02/2012
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