Shaw, Christiana Marie

Shaw, Christiana Marie is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainsville FL 32610-3003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Shaw, Christiana Marie can be contacted via phone (352) 265-0604.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainsville FL 32610-3003
Phone: (352) 265-0604
Fax: (352) 265-0190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X MD433729 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X ME107446 Florida

Profile Details

NPI number 1063532307
LBN Legal business name Shaw, Christiana Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Sep 28th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063532307 NPPES
Florida MEDICAID 002451200
Florida MEDICAID 1021778180001

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