Search › Florida › 106S00000X
Jacob Shaw
NPI 1477369825 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1515 Trailhead Ter
Hollywood, FL 33021 - Phone
- (786) 797-4662
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-09
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