Healthcare Provider Details

I. General information

NPI: 1962088633
Provider Name (Legal Business Name): AKAANKSH SHETTY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4211 US HIGHWAY 27 N
SEBRING FL
33870-1917
US

IV. Provider business mailing address

4211 US HIGHWAY 27 N
SEBRING FL
33870-1917
US

V. Phone/Fax

Practice location:
  • Phone: 863-385-1544
  • Fax: 863-385-1233
Mailing address:
  • Phone: 863-385-1544
  • Fax: 863-385-1233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME172284
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: