Organization
AMIT I SHAH M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA MARTINEZ (FINANCIAL SERVICES)
(863) 385-1244
Entity
Organization
Contact information
Practice address
4420 SUN N LAKE BLVD, SEBRING, FL 33872-2164
(863) 385-1244
(863) 385-6086
Mailing address
4420 SUN N LAKE BLVD, SEBRING, FL 33872-2164
(863) 385-1244
(863) 385-6086
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME48069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045758200
—
FL
Enumeration date
02/06/2007
Last updated
11/05/2008
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