Individual
ANITA B SHINDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
708 DEL PRADO BLVD, STE 9, CAPE CORAL, FL 33990-5616
(239) 574-5864
(239) 574-1451
Mailing address
3540 STUART CT, FORT MYERS, FL 33901-7737
(609) 350-3666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME107456
FL
207RI0200X
Infectious Disease Physician
Primary
ME107456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002612000
—
FL
01
—
149H9
BC/BS
FL
Enumeration date
06/24/2010
Last updated
11/01/2024
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