NPI | 1255884938 |
---|---|
Doing Business As | MYHEALTH BY SHAW MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | CARMENCITA E SHAW Provider 321-593-6999 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2016-07-28 |
Last Update Date | 2023-05-25 |