Shaw, Izabela S
Shaw, Izabela S is an individual health care provider with primary practice located at 3119 Lithia Pinecrest Rd , Valrico FL 33594-5632. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shaw, Izabela S can be contacted via phone (813) 643-3242.Contact Information
Primary practice address
3119 Lithia Pinecrest Rd
Valrico FL 33594-5632
Phone: (813) 643-3242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME83318 | Florida |
Profile Details
| NPI number | 1245207075 |
|---|---|
| LBN Legal business name | Shaw, Izabela S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245207075 | NPPES |
| Florida | MEDICAID | 264906300 |
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