Dareece Shaw's National Provider Identifier (NPI) Details
Dareece Shaw,
NPI: 1598059453
Enumeration Date: 2011-06-07
Last updated: 2015-10-12
Sole Proprietor: NO
Status: active
Postal Address: 3686 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL
Phone: 850-892-8045
Primary Practice Address: 3686 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL
Practice's phone: 850-892-8045