Mitchell Shaw P a
NPI #1326294042 in Marco Island, Florida
Provider Information
- NPI Number
- 1326294042
- Entity Type
- Organization
- Organization Name
- Mitchell Shaw P a
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Aug 13, 2008
- Last Updated
- Oct 17, 2008
Practice Location
- Address
- 19 BALD EAGLE DR
- Address 2
- SUITE B
- City
- Marco Island
- State
- Florida
- ZIP Code
- 34145-3580
- Phone
- (239) 394-4111
Authorized Official
- Name
- DR. MITCHELL J. SHAW, D.O.
- Title
- ADMINISTRATOR
- Phone
- (239) 394-4111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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