Search › Florida › 332U00000X
Samantha Shaw
NPI 1427876069 · on the registry since 2024 · sole proprietor
Practice
- Address
- 357 Sw Log Dr
Port St Lucie, FL 34953 - Phone
- (772) 274-3320
Registry record
- Primary taxonomy
- 332U00000X
332U00000X
- Also registered as
- 332U00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida