Shaw Medical Group LLC

NPI #1255884938 in Barefoot Bay, Florida

Provider Information

NPI Number: 1255884938
Entity Type: Organization
Organization Name: Shaw Medical Group LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 28, 2016
Last Updated: May 25, 2023

Practice Location

Address: 947 BAREFOOT BLVD
City: Barefoot Bay
State: Florida
ZIP Code: 32976-7101
Phone: (321) 593-6999

Authorized Official

Name: DR. CARMENCITA E SHAW, DNP
Title: PROVIDER
Phone: (321) 593-6999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Family Medicine	207Q00000X	Primary

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