SearchFlorida343900000X

Avedana Shaw

NPI 1902651961 · on the registry since 2024 · sole proprietor

Practice

Address
5695 Pershing Ave
Orlando, FL 32822
Phone
(407) 485-3969
Organisation at this address
Palmis Transport Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-22

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