Individual provider · Type 1 NPI

Dylan Shaw, MD

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

NPI number 1760184097 Active

Practice location

1600 SW Archer Rd
Gainesville, FL 32610-7408

Mailing address

1600 SW Archer Road, PO Box 100254
Gainesville, FL 32610

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 1760184097

Dylan Shaw, MD's National Provider Identifier is 1760184097, issued on Mar 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, FL. The record was last updated on Oct 10, 2024.