Organization
DR. B. R. SHAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHARAT R SHAH (OWNER)
(904) 768-3790
Entity
Organization
Contact information
Practice address
3000 DUNN AVE STE 38, JACKSONVILLE, FL 32218-6551
(904) 764-3790
(904) 768-7132
Mailing address
3000 DUNN AVE STE 38, JACKSONVILLE, FL 32218-6551
(904) 764-3790
(904) 768-7132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11696
FL
Other
Enumeration date
07/21/2008
Last updated
07/22/2008
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