Individual
AUSTIN JACOB SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2901 W BUSCH BLVD, #910, TAMPA, FL 33618
(813) 933-6481
(813) 932-2229
Mailing address
2901 W BUSCH BLVD, #910, TAMPA, FL 33618
(813) 933-6481
(813) 932-2229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11956
FL
Other
Enumeration date
09/05/2016
Last updated
08/29/2018
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