CARLO LAVERN SHAW (NPI# 1922640168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922640168 |
| Entity Type | Individual |
| Full Name | CARLO LAVERN SHAW |
| Practice Address |
6150 Metro West Blvd Suite 103 Orlando FL 32811 |
| Mailing Address |
5403 Eugenia Ct Orlando FL 32811-3910 |
| Practice Telephone | 4072762489 |
| Mailing Telephone | 4072762489 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMH18808 | FL | Behavioral Health & Social Service Providers |
| Street Address |
6150 METRO WEST BLVD SUITE 103 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734791 | Malissa Brown | Home Health | 5208 Greenery Ct, Orlando, FL 32811 | 2019-05-04 |
| 1619431665 | Health Care Center for The Homeless Inc | Pharmacy | 4426 Old Winter Garden Rd, Orlando, FL 32811 | 2019-01-24 |
| 1649763178 | Marie Alexandra Senat I | Adult Companion | 640 Grandiflora Drive, Orlando, FL 32811 | 2018-06-09 |
| 1851893309 | Next Level Physiotherapy and Performance | Physical Therapist | 4700 Lb Mcleod Rd, Orlando, FL 32811 | 2018-03-01 |
| 1447798681 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4205 Sw 34th Street, Orlando, FL 32811 | 2017-02-08 |
| 1386054161 | Leondra Foster | Home Health | 4787 King Cole Blvd, Orlando, FL 32811 | 2014-05-02 |
| 1790115681 | Calvin Collins Jr. | Internal Medicine | 4403 Vineland Rd, Suite B5, Orlando, FL 32811 | 2013-11-14 |
| 1043514458 | Legacy V Medical | Durable Medical Equipment & Medical Supplies | 3113 Willie Mays Pkwy, Ste.1100-b, Orlando, FL 32811 | 2010-12-28 |
| 1477871440 | Rm Toussaint Md LLC | Surgery | 4600 S. Kirkman Road, # 218, Orlando, FL 32811 | 2010-05-14 |
| 1649415860 | Heaven Sent Assistant Living Inc. | Home Health | 4123 Raleigh St., Orlando, FL 32811 | 2008-12-03 |
| Find all providers in zip 32811 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457161 | Jenna Grace Mallek Campos | Counselor | 13626 Phoenix Dr, Orlando, FL 32828-9338 | 2020-11-07 |
| 1295336089 | Resilience Behavioral Health LLC | Counselor | 3211 Calumet Dr, Orlando, FL 32810-2023 | 2020-11-06 |
| 1972103992 | Nadine Ferguson | Counselor | 5932 Folkstone Ln, Orlando, FL 32822-9417 | 2020-10-28 |
| 1386242592 | Orialis Sosa | Counselor | 1613 Park Lake St, Orlando, FL 32803-4154 | 2020-10-12 |
| 1710584057 | Megan E Hunt | Counselor | 1701 Park Center Dr Ste 202, Orlando, FL 32835-6235 | 2020-10-08 |
| 1134726094 | Jeffrey Harris | Counselor | 2568 Woodgate Blvd Apt 203, Orlando, FL 32822-5881 | 2020-10-05 |
| 1568069540 | Ask Schellie Consulting, LLC | Counselor | 2036 36th St, Orlando, FL 32839-8810 | 2020-10-03 |
| 1992319883 | Taleasha Lintayvia Washington | Counselor | 2012 Cabo San Lucas Dr Apt 208, Orlando, FL 32839-8435 | 2020-09-08 |
| 1053925297 | Morgan Mckee | Counselor | 1510 Lake Baldwin Ln Apt B, Orlando, FL 32814-6676 | 2020-09-04 |
| 1104437854 | Eliana Rina Gershon | Counselor | 6203 Steach Dr, Orlando, FL 32808-5436 | 2020-08-14 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.