Individual
DR. CHARLENE G. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
985 SR 436, CASSELBERRY, FL 32707-5664
(407) 831-5252
(561) 367-7886
Mailing address
985 S R 436, CASSELBERRY, FL 32707-5664
(407) 831-5252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS8413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009795400
—
FL
01
—
P01234568
RAILROAD MC
FL
Enumeration date
01/05/2006
Last updated
12/23/2013
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