Individual
RIA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 S UNIVERSITY DR, FT LAUDERDALE, FL 33328-2004
(800) 541-6682
Mailing address
500 N ANDREWS AVE APT 422, FORT LAUDERDALE, FL 33301-4148
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6310
FL
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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