DAVID LEE SHAW MD NPI 1073506432

NPI Information

NPI: 1073506432
Provider Name: DAVID LEE SHAW, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
907 MAR WALT DRIVE
SUITE 2021
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 863-0006
Get Directions

David Lee Shaw, MD is a neurology psychiatry neurology in Fort Walton Beach, FL. The provider is 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. David Lee Shaw, MD NPI is 1073506432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

907 MAR WALT DRIVE
SUITE 2021
FORT WALTON BEACH, FL
ZIP 32547-960
Phone: (850) 863-0006
Fax: (850) 863-0012

The enumeration date for this NPI number is 8/31/2005 and was last updated on 11/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	ME23236	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	17403	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
2	D61971	MEDICARE UPIN
3	17403	OTHER	FLORIDA	BCBS FL
4	17403A	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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