DAVID LEE SHAW MD
NPI 1073506432
Psychiatry & Neurology - Neurology in Fort Walton Beach, FL

Active since August 31, 2005
907 MAR WALT DRIVE, SUITE 2021, FORT WALTON BEACH, FL 32547(850) 863-0006(850) 863-0012 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Lee Shaw Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID LEE SHAW MD (NPI 1073506432) is an individual neurology provider in Fort Walton Beach, Florida, licensed in Florida (ME23236) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1073506432
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDAVID LEE SHAWCredential: MD
Location Address907 MAR WALT DRIVE, SUITE 2021Fort Walton Beach, FL 32547-6960
Mailing Address907 Mar Walt Drive, Suite 2021Fort Walton Beach, FL 32547-6960 · (850) 863-0006 · Fax (850) 863-0012
Fax(850) 863-0012
Sole ProprietorNo
Enumeration DateAugust 31, 2005
Last NPPES UpdateNovember 28, 2011
NPI 1073506432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in FL · ME23236
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

907 MAR WALT DRIVE, Fort Walton Beach, FL 32547

Other Identifiers 4

Other17403FL · Blue Cross Blue Shield
Medicare UPIND61971
Other17403FL · Bcbs Fl
Medicare PIN17403A

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Shaw's NPI number?

The NPI number for David Shaw is 1073506432. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is David Shaw located?

David Shaw practices at 907 Mar Walt Drive Suite 2021, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-0006.

What is David Shaw's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for David Shaw was last updated on November 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.