Individual
DR. CARMENCITA E SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
947 BAREFOOT BLVD, BAREFOOT BAY, FL 32976-7101
(321) 593-6999
(321) 327-2262
Mailing address
947 BAREFOOT BLVD, BAREFOOT BAY, FL 32976-7101
(321) 593-6999
(321) 327-2262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APRN9432845
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN9432845
FL
Other
Enumeration date
11/16/2015
Last updated
01/08/2024
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