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Individual

NORMAN SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3601 W COMMERCIAL BLVD, ANESCO NORTH BROWARD LLC, STE 5, FORT LAUDERDALE, FL 33309-3300
(954) 485-5666
(954) 484-1651
Mailing address
3601 W COMMERCIAL BLVD, ANESCO NORTH BROWARD LLC, STE 5, FORT LAUDERDALE, FL 33309-3300
(954) 485-5666
(954) 484-1651

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME80469
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
258575800
FL
Enumeration date
04/20/2006
Last updated
09/20/2013
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