Organization
WEST FLORIDA NEUROSURGICAL ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIAN M SHAH MD (PRESIDENT)
(774) 617-0001
Entity
Organization
Contact information
Practice address
13910 FIVAY RD STE 2, HUDSON, FL 34667-7130
(774) 671-0001
Mailing address
13910 FIVAY RD STE 2, HUDSON, FL 34667-7130
(774) 671-0001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/21/2022
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