Dudley Alan Shaw is a Medical in Palm Coast, Florida. Dudley Alan Shaw practices all healthcare services and medical treatments related to Medical. The NPI Number for Dudley Alan Shaw is 1598768210. The last update date is 2007-07-08.
Dudley Alan Shaw's current location address is 6 Office Park Dr, Palm Coast, Florida. You can contact this provider via phone number 3864476615. The mailing address for Dudley Alan Shaw is 6 Office Park Dr, Palm Coast, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dudley Alan Shaw |
|---|---|
| Address | 6 Office Park Dr, Palm Coast, Florida |
| Phone Number | 3864476615 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | P.A |
NPI Number Detail
| NPI Number | 1598768210 |
|---|---|
| Provider Enumeration Date | 2005-05-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6 Office Park Dr |
|---|---|
| City | Palm Coast |
| State | Florida (FL) |
| Post Code | 3213738080 |
| Phone Number | 3864476615 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA2468 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dudley Alan Shaw by the Centers for Medicare & Medicaid Services?
The Dudley Alan Shaw has been issued the NPI (National Provider Identifier) 1598768210, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Dudley Alan Shaw is physically located?
The Dudley Alan Shaw is physically situated at the following address: 6 Office Park Dr, Palm Coast, FL, 3213738080.
What is the Dudley Alan Shaw's area of specialization and corresponding taxonomy classification?
The Dudley Alan Shaw's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the Dudley Alan Shaw receive the assignment of its 1598768210 from the Centers for Medicare & Medicaid Services?
The Dudley Alan Shaw was issued its 1598768210 by the Centers for Medicare & Medicaid Services on 2005-05-27.
As of what date were the details pertaining to Dudley Alan Shaw last refreshed?
The information related to the Dudley Alan Shaw, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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