David Lee Shaw, MD Valid NPI

Individual provider · Neurology Physician · Fort Walton Beach, FL

NPI

1073506432

Type

Individual (Type 1)

Primary specialty

Neurology Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084N0400X

License number

ME23236 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2005-08-31

Last updated

2011-11-28