Organization
DAVID W SHAW DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W SHAW (PRESIDENT)
(772) 466-5600
Entity
Organization
Contact information
Practice address
1006 VIRGINIA AVE, FORT PIERCE, FL 34982-3522
(772) 466-5600
(772) 466-1652
Mailing address
1006 VIRGINIA AVE, FORT PIERCE, FL 34982-3522
(772) 466-5600
(772) 466-1652
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHOOO4544
FL
Other
Enumeration date
11/15/2007
Last updated
11/30/2007
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