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Lymar Shaw
NPI 1568708048 · on the registry since 2013 · sole proprietor
Practice
- Address
- 6222 Nw Gisela St
Port Saint Lucie, FL 34986 - Phone
- (561) 294-8900
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-02
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