Individual
DR. STEVEN LOREN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-2062
(239) 343-9193
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2062
(239) 343-9193
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301115319
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301115319
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111343100
—
FL
Enumeration date
03/26/2015
Last updated
10/26/2022
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