Individual
DR. PREM SURESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13046 RACE TRACK RD, #112, TAMPA, FL 33626-1302
(352) 256-1074
Mailing address
13046 RACE TRACK RD, #112, TAMPA, FL 33626-1302
(352) 256-1074
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS40176
FL
Other
Enumeration date
06/16/2007
Last updated
07/08/2007
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