Healthcare Provider Details

I. General information

NPI: 1609175306
Provider Name (Legal Business Name): ARPIT SHAH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2011
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 FOWLER GROVE BLVD 3RD FL
WINTER GARDEN FL
34787
US

IV. Provider business mailing address

2000 FOWLER GROVE BLVD 3RD FL
WINTER GARDEN FL
34787
US

V. Phone/Fax

Practice location:
  • Phone: 407-889-1930
  • Fax: 407-889-1904
Mailing address:
  • Phone: 407-889-1930
  • Fax: 407-889-1904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME146216
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: