Individual
MS. BRIGITTE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1301 E BROWARD BLVD STE 240, FORT LAUDERDALE, FL 33301
(954) 983-1211
(954) 983-4190
Mailing address
1924 SUNRISE KEY BLVD, FT LAUDERDALE, FL 33304-3818
(954) 914-3261
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9105152
FL
Other
Enumeration date
11/23/2009
Last updated
01/31/2019
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