Amit I Shah M D P a

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME48069 Issued in FL

Legal business name

AMIT I SHAH M D P A

Practice address

4420 Sun N Lake Blvd
Sebring, FL 33872-2164

Phone

(863) 385-1244

Fax

(863) 385-6086

NPI assigned

Feb 6, 2007

Last updated

Nov 5, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Theresa Martinez

Title

Financial Services

Phone

(863) 385-1244

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1881733772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722164",
            "telephone_number": "863-385-1244",
            "fax_number": "863-385-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722164",
            "telephone_number": "863-385-1244",
            "fax_number": "863-385-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIT I SHAH M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "FINANCIAL SERVICES",
        "authorized_official_telephone_number": "863-385-1244",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME48069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045758200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlene Tapales Amellabon, OTR/L
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• Americare Communities Florida LLC
• Namra Amin, D.M.D
• Lawrence Mateo Anacay, MD
• Rupesh Andani, MBBS
• Dale C Anderson, DPM
• Patricia Rocio Anderson, RPT
• Anemone Emergency Physicians, LLC

• Specialist in Sebring, FL
• Providers in Sebring, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.