Individual
ANJALI SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33920 US 19 N STE 241, PALM HARBOR, FL 34684-2672
(727) 773-9793
(727) 773-0674
Mailing address
33920 US 19 N STE 241, PALM HARBOR, FL 34684-2672
(727) 773-9793
(727) 773-0674
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME121856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
593548577
TAXPAYER IDENTIFICATION NUMBER
FL
Enumeration date
04/05/2010
Last updated
08/11/2015
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