Individual
MAURICE H SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4446 E FLETCHER AVE, SUITE A, TAMPA, FL 33613
(813) 971-6700
(813) 977-1352
Mailing address
4033 TAMPA RD, STE. 101, OLDSMAR, FL 34677-3224
(813) 854-2003
(813) 855-2367
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME17432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035899100
—
FL
Enumeration date
08/02/2006
Last updated
12/03/2013
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