David G Shaw Dc, Pa | |
1626 S Conway Rd, Orlando, FL 32812-2705 | |
(407) 851-0980 | |
(407) 851-0918 |
Full Name | David G Shaw Dc, Pa |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1626 S Conway Rd, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205108933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | David G Shaw |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336207620 PECOS PAC ID: 6305898651 Enrollment ID: I20050216000053 |
Mailing Address | Practice Location Address |
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David G Shaw Dc, Pa 1626 S Conway Rd, Orlando, FL 32812-2705 Ph: (407) 851-0980 | David G Shaw Dc, Pa 1626 S Conway Rd, Orlando, FL 32812-2705 Ph: (407) 851-0980 |
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