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Individual

DR. MANASI SAMIR SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3526 S FLORIDA AVE, LAKELAND, FL 33803-4861
(863) 400-4747
Mailing address
288 BEACH DR NE APT 11C, SAINT PETERSBURG, FL 33701-3481
(330) 493-4443
(330) 451-4036

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME127451
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/11/2012
Last updated
03/21/2023
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