Provider Demographics
NPI:1831344506
Name:LIMAYE, SHALAKA SHASHIKANT (RPT)
Entity type:Individual
Prefix:
First Name:SHALAKA
Middle Name:SHASHIKANT
Last Name:LIMAYE
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 SW 62ND BLVD
Mailing Address - Street 2:APT 10
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-6007
Mailing Address - Country:US
Mailing Address - Phone:407-325-8689
Mailing Address - Fax:
Practice Address - Street 1:3250 SW 41ST PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-2621
Practice Address - Country:US
Practice Address - Phone:352-378-1558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-23
Last Update Date:2008-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT24270225100000X
MI5501012091225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist