RAJANI P. SHAH, MD PA
Osteopathic Medicine at Cross Creek Blvd, Tampa, FL

License number
Florida ME0071862
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: RAJANI P. SHAH M.D.
Title: DIRECTOR
Phone: (813) 994-7670
Address
Address
10311 Cross Creek Blvd SUITE B, Tampa, FL 33647
National Provider ID: 1134235120
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAJANI P. SHAH, M.D., PA

Tampa, FL

Industry:
Medical Doctor's Office
Registration:
Jul 15, 2005
Addresses:
10311 Cross Crk Blvd SUITE B, Tampa, FL 33647 (Physical)
Tampa, FL 33646 (Mailing)
17811 Arbor Hvn Dr, Tampa, FL 33647
State ID:
P05000099567
Business type:
Florida Profit Corporation
Director:
Rajani Pdr Shah (Director), 10311 Cross Crk Blvd, Tampa, FL 33647 (Physical)
Agent:
Walker, Gary,202 S Rome Ave SUITE 100, Tampa, FL 33606 (Physical)
EIN:
203150175

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