Male or Other

Dr. Steven L. Shaw M.D.

Child & Adolescent Psychiatry Physician in Fort Myers, FL(View on Map)

Full Name

Dr. Steven Loren Shaw M.D.

NPI Number

1326432584

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/26/2015

Specialties

(Taxonomies)

Code

2084P0804X
2084P0800X

Primary Taxonomy

Yes
No

Licenses

State

Michigan

License Number

4301115319

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 2147
9981 S HEALTHPARK DR

City

Fort Myers
Fort Myers

State

FL
FL

Postal Code

33902-2147
33908-3618

Country

US
US

Telephone Number

(239) 343-2062
(239) 343-2062

Identifiers

Identifier

111343100

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/26/2022

Provider Address

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