Individual
DR. CHARLENE G. SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5951 COLONIAL DR, MARGATE, FL 33063-5661
(872) 231-3162
(561) 367-7886
Mailing address
PO BOX 734951, CHICAGO, IL 60673-4951
(702) 899-0595
(702) 977-1496
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
07/02/2026
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