Organization
MICHAEL L SHAWBITZ M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN L LOPER (BUSINESS OFFICE ANALYST)
(850) 315-9211
Entity
Organization
Contact information
Practice address
1034 MAR WALT DR, SUITE 100, FORT WALTON BEACH, FL 32547-6639
(850) 863-2153
(850) 315-9350
Mailing address
1034 MAR WALT DR, SUITE 100, FORT WALTON BEACH, FL 32547-6639
(850) 863-2153
(850) 315-9350
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0038803
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065692500
—
FL
Enumeration date
04/06/2009
Last updated
07/17/2013
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