Individual provider · Type 1 NPI

Stephanie Shaw

Student in an Organized Health Care Education/Training Program · South Miami, FL

NPI number 1396208260 Active

Practice location

7031 SW 62nd Ave Fl 33143
South Miami, FL 33143-4701

Mailing address

7830 Pine Fork Dr
Orlando, FL 32822-7228

Other practice locations

  • 180 Jfk Dr Ste 210, Atlantis, FL 33462-6641 · (561) 548-1450

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396208260

Stephanie Shaw's National Provider Identifier is 1396208260, issued on Apr 9, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Miami, FL. The record was last updated on Jun 15, 2020.