| N Shape & Health Medicine Llc | |
|
4691 Van Dyke Rd Lutz FL 33558-4880 | |
| (813) 443-1443 | |
| Not Available |
| Full Name | N Shape & Health Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4691 Van Dyke Rd, Lutz, Florida |
| Authorized Official Name and Position | Joseph Shnouda (OWNER) |
| Authorized Official Contact | 8134431448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N Shape & Health Medicine Llc 4691 Van Dyke Rd Lutz FL 33558-4880 Ph: (813) 443-1443 | N Shape & Health Medicine Llc 4691 Van Dyke Rd Lutz FL 33558-4880 Ph: (813) 443-1443 |
| NPI Number | 1124672803 |
|---|---|
| Provider Enumeration Date | 07/30/2019 |
| Last Update Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124672803 | NPI | - | NPPES |
| ME104671 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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