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Furtardo Shaw

NPI 1598215063 · on the registry since 2016 · sole proprietor

Practice

Address
39 Grace Cunningham Rd
Quincy, FL 32352
Phone
(850) 728-6553

Registry record

Primary taxonomy
252Y00000X
252Y00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-09

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