Organization
JOSEPH SHALIT, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH SHALIT M.D. (PRESIDENT)
(850) 682-1022
Entity
Organization
Contact information
Practice address
484 N WILSON ST, CRESTVIEW, FL 32536-3442
(850) 682-1022
(850) 682-2384
Mailing address
484 N WILSON ST, CRESTVIEW, FL 32536-3442
(850) 682-1022
(850) 682-2384
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME67718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26606
MEDICARE IDENTIFICATION NUMBER
FL
Enumeration date
10/05/2010
Last updated
10/05/2010
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