Individual
DYLAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-7408
(352) 273-6575
Mailing address
1600 SW ARCHER ROAD, PO BOX 100254, GAINESVILLE, FL 32610
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
10/10/2024
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