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1124409222
SHITAL SHAH
PORT RICHEY, FL
NPI
1124409222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC5060)
Enumeration Date
2015-06-15
Last Update Date
2017-01-30
Business Address
-- SHITAL SHAH O.D.
9624 US HIGHWAY 19
PORT RICHEY, FL 34668-4642
Phone number: 727-232-2949
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Mailing Address
-- SHITAL SHAH O.D.
19697 LONG LAKE RANCH BLVD
LUTZ, FL 33558-5494
Phone number:
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