STACEY L SHAW

PORT ORANGE, FL
NPI1366922882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: FL  2878322)
Enumeration Date2018-08-14
Last Update Date2018-08-14
Business Address
STACEY L SHAW ARNP
1690 DUNLAWTON AVE STE 230
PORT ORANGE, FL 32127-8980
Phone number: 386-271-2273
Mailing Address
STACEY L SHAW ARNP
1690 DUNLAWTON AVE
PORT ORANGE, FL 32127-8979
Phone number: 386-717-8323
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