Provider Demographics
NPI:1831655935
Name:SHAW, DONALD AARON (DC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:AARON
Last Name:SHAW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7102 ROTHCHILD CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-6177
Mailing Address - Country:US
Mailing Address - Phone:407-721-0032
Mailing Address - Fax:
Practice Address - Street 1:672 N SEMORAN BLVD STE 201
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-3372
Practice Address - Country:US
Practice Address - Phone:407-447-6848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12707111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor