Shaw, David Lee

Shaw, David Lee is an individual health care provider with primary practice located at 907 Mar Walt Drive Suite 2021, Fort Walton Beach FL 32547-6960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Shaw, David Lee can be contacted via phone (850) 863-0006.

Contact Information

Primary practice address
907 Mar Walt Drive Suite 2021 Fort Walton Beach FL 32547-6960
Phone: (850) 863-0006
Fax: (850) 863-0012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME23236 Florida

Profile Details

NPI number 1073506432
LBN Legal business name Shaw, David Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Nov 28th, 2011 - about 13 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 1073506432 NPPES
Florida Other 17403 BCBS FL
Florida Other 17403 BCBS FL

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