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Individual

ANDREW BRIAN SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
836 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 32207-8340
(904) 388-6518
(904) 384-1005
Mailing address
PO BOX 746647, ATLANTA, GA 30374-6647
(904) 202-2092
(904) 376-4075

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
57.016115
OH
207T00000X
Neurological Surgery Physician
Primary
ME127817
FL

Other

Enumeration date
11/25/2009
Last updated
02/18/2026
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