Shaw, Dudley Alan

Shaw, Dudley Alan is an individual health care provider with primary practice located at 6 Office Park Dr , Palm Coast FL 32137-3808. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Shaw, Dudley Alan can be contacted via phone (386) 447-6615.

Contact Information

Primary practice address
6 Office Park Dr Palm Coast FL 32137-3808
Phone: (386) 447-6615
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2468 Florida

Profile Details

NPI number 1598768210
LBN Legal business name Shaw, Dudley Alan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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