Jesse Shaw DO

NPI 1396865788 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1396865788
Gender Male
Enumeration Date 03/30/2007
Last Updated 10/22/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
17779 SW 2ND ST
PEMBROKE PINES FL, 33029-3924, US
Phone (954) 450-0099
Fax (954) 450-0022
Business Location
17779 SW 2ND ST
PEMBROKE PINES FL, 33029-3924, US
Phone (954) 450-0099
Fax (954) 450-0022
Toxanomy
Taxonomy Code 207X00000X
License State Florida
License Number OS10003
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According to our database, Mr. Jesse Shaw DO NPI is 1396865788, taxonomy code is 207X00000X and license number is OS10003, license state is located at Florida. Jesse Shaw DO physically located at 17779 Sw 2nd St, Pembroke Pines FL, 33029-3924. NPI Number Jesse Shaw DO has the Individual type.

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1396865788 NPI number is provided on an as is basis without warranty of any kind. 1396865788 is maintained by the National Plan & Provider Enumeration System. The contents of Jesse Shaw DO are for informational purposes only.