| Doctor Name: | SHAH MICHAEL ASADI ROSARIO |
| NPI Number: | 1710168943 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | |
| Business Practice Address: | 3201 W. Commercial Blvd, Suite 116 Ft. Lauderdale, FL - 333093440 |
| Business Phone Number: | 8008868108 |
| Business Fax Number: | 9543324340 |
| Mailing Address: | 3290 North Ridge Road Executive Center Ii, Suite 290 ELLICOTT CITY |
| State: | MD |
| Postal Code: | 210433655 |
| Phone Number: | 4107509006 |
| Fax Number: | 4107500787 |
| NPI Enumeration Date: | 11/15/2007 |
| NPI Last Update Date: | 11/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |