Organization
VICTORY BH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SNEHAL SHAH (OWNER)
(908) 451-1566
Entity
Organization
Contact information
Practice address
1530 KINGSLEY AVE, ORANGE PARK, FL 32073-4511
(908) 451-1566
(716) 237-4199
Mailing address
1335 KINGSLEY AVE UNIT 458, ORANGE PARK, FL 32067-7719
(908) 451-1566
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
02/21/2023
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