Organization
MITCHELL SHAW P A
Active
Other names
MITCHELL J. SHAW, D.O. PA.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL J. SHAW D.O. (ADMINISTRATOR)
(239) 394-4111
Entity
Organization
Contact information
Practice address
19 BALD EAGLE DR, SUITE B, MARCO ISLAND, FL 34145-3580
(239) 394-4111
Mailing address
19 BALD EAGLE DR, SUITE B, MARCO ISLAND, FL 34145-3580
(239) 394-4111
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2008
Last updated
10/17/2008
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