David Lee Shaw MD

NPI 1073506432 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1073506432
Gender Male
Enumeration Date 08/31/2005
Last Updated 11/28/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
907 MAR WALT DRIVE
SUITE 2021
FORT WALTON BEACH FL, 32547-6960, US
Phone (850) 863-0006
Fax (850) 863-0012
Business Location
907 MAR WALT DRIVE
SUITE 2021
FORT WALTON BEACH FL, 32547-6960, US
Phone (850) 863-0006
Fax (850) 863-0012
Toxanomy
Taxonomy Code 2084N0400X
License State Florida
License Number ME23236
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According to our database, David Lee Shaw MD NPI is 1073506432, taxonomy code is 2084N0400X and license number is ME23236, license state is located at Florida. David Lee Shaw MD physically located at 907 Mar Walt Drive, Fort Walton Beach FL, 32547-6960. NPI Number David Lee Shaw MD has the Individual type.

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1073506432 NPI number is provided on an as is basis without warranty of any kind. 1073506432 is maintained by the National Plan & Provider Enumeration System. The contents of David Lee Shaw MD are for informational purposes only.