Jon A Shaw in Miami - Child & Adolescent Psychiatry
Jon A Shaw - NPI 1861409286
Jon A Shaw is a Child & Adolescent Psychiatry in Miami, Florida. Jon A Shaw practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Jon A Shaw is 1861409286. The last update date is 2007-07-08.
Jon A Shaw's current location address is 1611 Nw 12th Ave, Miami, Florida. You can contact this provider via phone number 3053559105 and fax number 3052438470. The mailing address for Jon A Shaw is 1611 Nw 12th Ave, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon A Shaw |
|---|---|
| Address | 1611 Nw 12th Ave, Miami, Florida |
| Phone Number | 3053559105 |
| Fax Number | 3052438470 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1861409286 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1611 Nw 12th Ave |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331016960 |
| Phone Number | 3053559105 |
| Fax Number | 3052438470 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | ME58469 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0614149-00 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jon A Shaw?
The Jon A Shaw has been issued the NPI (National Provider Identifier) 1861409286 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jon A Shaw?
The Jon A Shaw is physically situated at 1611 Nw 12Th Ave, in the city of Miami, state of FL, with the postal code 331016960.
What is Jon A Shaw's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jon A Shaw's specialized field of practice is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0804X.
On what date did Jon A Shaw receive its 1861409286 assignment from the Centers for Medicare & Medicaid Services?
The Jon A Shaw was assigned its 1861409286 on 2006-08-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jon A Shaw's details last updated?
The information pertaining to the Jon A Shaw, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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