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Organization
RAHN SHAW MD PA
Active
Organization
RAHN SHAW MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD LORIN SHAW M.D. (PRESIDENT)
(407) 889-4711
Entity
Organization
Contact information
Practice address
202 N PARK AVE # 100, APOPKA, FL 32703-4148
(407) 889-4711
(407) 889-7742
Mailing address
202 N PARK AVE # 100, APOPKA, FL 32703-4148
(407) 889-4711
(407) 889-7742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12484W
ROBERTO S. PEREZ MD MEDICARE NUMBER
FL
01
—
1518281310
NPI DR. LUGO
FL
01
—
1568719425
NPI FOR DR. MCCALLA
FL
01
—
1639226459
ROBERT LEMONS, MD NPI
—
01
—
1639373962
DR. PRISKA NPI
MI
01
—
1700867553
NPI DR. PEREZ
FL
01
—
1750372934
NPI FOR KELLY O'SULLIVAN STOBBE P-AC, MS
FL
01
—
1922099555
NPI FOR DR. SHAW
FL
01
—
47663Z
RONALD SHAW MD MEDICARE NUMBER
FL
01
—
E1300A
KELLY OSULLIVAN STOBBE PA MEDICARE NUMBER
FL
01
—
K9529
MEDICARE GROUP PIN
FL
01
—
N25400006
DR. PRISKA MEDICARE PIN
MI
Enumeration date
07/12/2006
Last updated
08/08/2016
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