Individual
DR. SMITA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MB,BS
Contact information
Practice address
13340 METRO PKWY STE 400, FORT MYERS, FL 33966-4818
(239) 343-1105
(239) 343-4259
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1105
(239) 343-4259
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
MA45882
NJ
207RP1001X
Pulmonary Disease Physician
Primary
ME142528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0898805
—
NJ
05
—
129892700
—
FL
Enumeration date
12/14/2006
Last updated
02/05/2026
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