Individual
SHAAN MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
991 E DEL WEBB BLVD, SUN CITY CENTER, FL 33573
(813) 978-9700
(813) 558-6494
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6186
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
ME137842
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME137842
FL
208VP0014X
Interventional Pain Medicine Physician
ME137842
FL
Other
Enumeration date
04/13/2017
Last updated
12/16/2024
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