Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Atul Mukutbhai Shah, MD

Individual provider Specialist · NPI 1962471169

Dr. Atul Mukutbhai Shah, MD is a Psychiatry in Jacksonville, Florida. Qualified in 1972, 54 years ago. Practices with Pacifica Care PLLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
54
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6310 Beach Blvd
Jacksonville, FL 32216-2708
Phone: (904) 725-6463
Fax: (904) 724-5006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME48902 (FL)
Specialist Taxonomy 174400000X · Licence ME0048902 (FL)

Record details

NPI number1962471169
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 17, 2006
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Group practice Pacifica Care Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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