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Individual
DR. RONALD LORIN SHAW
Active
Individual
DR. RONALD LORIN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0044966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069347200
—
FL
01
—
220003327
RAILROAD MEDICARE
FL
01
—
593339550
WINTER PARK FAMILY HEALTH CENTER, INC
FL
01
—
C13264
RAILROAD GROUP NUMBER
FL
Enumeration date
11/02/2005
Last updated
09/01/2020
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