Individual
MRS. SHOBHA BHIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1485 N ATLANTIC AVE, SUITE 111, COCOA BEACH, FL 32931-3244
(321) 453-1644
(321) 784-8212
Mailing address
1930 PORPOISE ST, MERRITT ISLAND, FL 32952-5644
(321) 453-1644
(321) 784-8212
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003111691
ABC IN ORTHOTICS & PROSTH
—
Enumeration date
11/04/2006
Last updated
09/24/2012
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