Individual
AVEDANA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5695 PERSHING AVE, ORLANDO, FL 32822-3838
(407) 485-3969
Mailing address
5695 PERSHING AVE, ORLANDO, FL 32822-3838
(407) 485-3969
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
FL
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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