YOGESH H SHAH MD PA
Ambulatory Health at Live Oak St, New Smyrna, FL

License number
Florida ME61678
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. YOGESH H SHAH M.D.
Title: CARDIOLOGIST/OWNER
Phone: (386) 426-2060
Address
Address
501 Live Oak St SUITE A, New Smyrna, FL 32168
National Provider ID: 1225376700
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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YOGESH H. SHAH, M.D., PA

501 Live Oak St SUITE A, New Smyrna Beach, FL 32168

Status:
Inactive
Inactive reason:
Reinstatement
Registration:
May 1, 2003
Inactive since:
Nov 18, 2012
State ID:
P03000048665
Business type:
Florida Profit Corporation
S:
Shah, Yogesh H., M.d, 501 Live Oak St, New Smyrna Beach, FL 32168 (Physical),Asmita Y Shah, 501 Live Oak St, New Smyrna Beach, FL 32168 (Physical)
FEI/EIN:
470917799

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