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Neal
Neal
Shah
Medical doctor
Pain medicine
Davenport,
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Reveal information
Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Neal Shah
Job Title
Medical Doctor
Qualifications
Dispensing Practitioner
License Number
ME121272
License Status
Clear/Active
License Issue Date
12/08/2014
License Expiry Date
31/01/2025
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
NEAL SHAH
Job Title
Medical Doctor
Location
Davenport, FL, USA
LIC ID
120050
Current License Expiration Date
31/01/2025
Original Date
12/08/2014
Professional Rank Code
ME
Effective Date
12/08/2014
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
POLK
Practice Location Address Line 1
2310 North Blvd West, Suite A
Practice Location Address City
DAVENPORT
Practice Location Address State
FL
Practice Location Address Zipcode
33837
Mode Code
Dispensing Practitioner
Prescribing Indicator
Y
Dispensing Indicator
Y
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