DR. SHAILESH SHAH, M.D.
Osteopathic Medicine at Oak St, Kissimmee, FL

License number
Florida ME67094
Category
Osteopathic Medicine
Type
Internal Medicine
Address
Address 2
320 W Oak St, Kissimmee, FL 34741
8250 Lake Serene Dr, Orlando, FL 32836
Phone
(407) 931-1300
(407) 931-1002 (Fax)
National Provider ID: 1861402521
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SHAILESH SHAH at bizstanding.com

SHAILESH SHAH, M.D., PA

Orlando, FL  -  Kissimmee, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Shailesh Shah MD
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Aug 23, 2002
Inactive since:
Oct 15, 2003
Phone:
(407) 931-1300 (Phone)
Addresses:
8250 Lk Serene Dr, Orlando, FL 32836 (Physical)
320 W Oak St, Kissimmee, FL 34741
State ID:
P02000092213
Business type:
Florida Profit Corporation
President, Secretary:
Shailesh Md Shah (President, Secretary), 8250 Lk Serene Dr, Orlando, FL 32836 (Physical)
Agent:
Shailesh Shah,8250 Lk Serene Dr, Orlando, FL 32836 (Physical)
EIN:
52-2375558

Osteopathic Medicine licenses in Florida