David Lee Shaw in Fort Walton Beach - Neurology
David Lee Shaw - NPI 1073506432
David Lee Shaw is a Neurology in Fort Walton Beach, Florida. David Lee Shaw practices all healthcare services and medical treatments related to Neurology. The NPI Number for David Lee Shaw is 1073506432. The last update date is 2011-11-28.
David Lee Shaw's current location address is 907 Mar Walt Drive, Fort Walton Beach, Florida. You can contact this provider via phone number 8508630006 and fax number 8508630012. The mailing address for David Lee Shaw is 907 Mar Walt Drive, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Lee Shaw |
|---|---|
| Address | 907 Mar Walt Drive, Fort Walton Beach, Florida |
| Phone Number | 8508630006 |
| Fax Number | 8508630012 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073506432 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2011-11-28 |
Provider Mailing Address Detail
| Address | 907 Mar Walt Drive |
|---|---|
| City | Fort Walton Beach |
| State | Florida (FL) |
| Post Code | 325476960 |
| Phone Number | 8508630006 |
| Fax Number | 8508630012 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | ME23236 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17403 | FL | BCBS FL | |
| 17403 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to David Lee Shaw by the Centers for Medicare & Medicaid Services?
The David Lee Shaw has been assigned the NPI (National Provider Identifier) 1073506432 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of David Lee Shaw?
The David Lee Shaw is situated at 907 Mar Walt Drive, in the city of Fort Walton Beach, state of FL, with the zip code 325476960.
What is David Lee Shaw's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Lee Shaw's area of specialization is Neurology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0400X.
On what date was the 1073506432 assigned to David Lee Shaw?
The David Lee Shaw was issued its 1073506432 on 2005-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to David Lee Shaw last refreshed?
The information related to the David Lee Shaw, including its address, specialty, and other relevant details, was last updated on 2011-11-28.