Individual
AMISHA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12113 OLIVE JONES RD, TAMPA, FL 33625-3936
(407) 968-9216
Mailing address
12113 OLIVE JONES RD, TAMPA, FL 33625-3936
(407) 968-9216
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9390909
FL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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