Parvonae M Shaw


Address: 235 Village Grande Dr, Ponte Vedra, FL 32081-0093

Parvonae M Shaw (NPI# 1760679690, PAC ID# 4082797451) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1760679690
PAC ID by PECOS 4082797451
Professional Enrollment ID I20080320000527
Full Name Parvonae M Shaw
Address 235 Village Grande Dr
Ponte Vedra
FL 32081-0093
Gender F
Graduation Year 2006
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
235 Village Grande Dr, Ponte Vedra, FL 32081-0093

Organization Information

Office Location

Street Address 235 VILLAGE GRANDE DR
City PONTE VEDRA
State FL
Zip 32081-0093

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Competitor

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City PONTE VEDRA
Zip Code 32081
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty PONTE VEDRA + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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