Individual
MADISON CARMELA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
163 NE 24TH ST, MIAMI, FL 33137-4830
(786) 591-7586
Mailing address
163 NE 24TH ST, MIAMI, FL 33137-4830
(786) 591-7586
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND10225
FL
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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