Individual
DR. ROBERT J. SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16308 MORADAS DE AVILA, TAMPA, FL 33613-1092
(813) 961-9406
Mailing address
16308 MORADAS DE AVILA, TAMPA, FL 33613-1092
(813) 961-9406
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME 71507
FL
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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