Individual
BRIAN SYDNEY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1417 E CONCORD ST, ORLANDO, FL 32803-5409
(407) 936-2785
Mailing address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/16/2025
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