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Matavious Shaw
NPI 1215535349 · on the registry since 2020 · sole proprietor
Practice
- Address
- 6961 University Blvd
Winter Park, FL 32792 - Phone
- (407) 543-8356
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-12
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