DR. BRUCE MICHAEL SHAW (NPI# 1619199734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619199734 |
| Entity Type | Individual |
| Full Name | DR. BRUCE MICHAEL SHAW |
| Credential | DDS |
| Practice Address |
1111 Lincoln Rd. Suite 740 Miami Beach FL 33139 |
| Practice Telephone | 3055325044 |
| Practice Fax Number | 3055311011 |
| Mailing Telephone | 3055325044 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN7419 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407093669 | Bruce Shaw | Occupational Therapist | 9123 Springcroft Ct, Tomball, TX 77375-4341 | 2009-01-09 |
| Street Address |
1111 LINCOLN RD. SUITE 740 |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973061 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 709 Alton Road Suite 430, Miami Beach, FL 33139 | 2019-10-14 |
| 1811548308 | Yoel O Guerra | Behavior Technician | 800 West Ave Apt 942, Miami Beach, FL 33139 | 2019-09-25 |
| 1285153239 | Stella Kocovic Villacorta | Internal Medicine | 709 Alton Road, Suite 440, Miami Beach, FL 33139 | 2017-09-11 |
| 1922524164 | Noel De Leon | Pharmacist | 730 15 Street Apt 1-d, Miami Beach, FL 33139 | 2017-08-18 |
| 1861916868 | Susana Cruz | Behavior Technician | 710 Washinghton Ave Apt# 223, Miami Beach, FL 33139 | 2017-08-01 |
| 1730627530 | Viviana Yerex | Behavior Technician | 800 West Ave. Apt. 602, Miami Beach, FL 33139 | 2017-02-01 |
| 1841662921 | Miami Beach Holistic Addiction Treatment Center | Substance Abuse Rehabilitation Facility | 309 23rd Street Ste 200-c, Miami Beach, FL 33139 | 2015-10-28 |
| 1609245778 | Borinquen Health Care Center Inc | Clinic/Center | 1050 4th Street, South Pointe Elementary, Miami Beach, FL 33139 | 2015-09-18 |
| 1558730622 | Borinquen Health Care Center Inc | Clinic/Center | 1420 Washington Avenue, Fienberg Fisher K-8, Miami Beach, FL 33139 | 2015-09-18 |
| 1407238603 | Wayne Holman | General Practice | 500 South Pointe Drive Suite 220, C/o Ridgeback Capital Management, Miami Beach, FL 33139 | 2015-06-24 |
| Find all providers in zip 33139 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114457793 | Mario J Hernandez | Dentist | 630 77th St Apt 4, Miami Beach, FL 33141-2261 | 2017-06-15 |
| 1851754923 | Florida Preventive Solutions | Dentist | 4565 Adams Ave, Miami Beach, FL 33140-2931 | 2016-04-05 |
| 1932562428 | Victor Sabo | Dentist | 333 - 41st Str. #402, Miami Beach, FL 33140-3950 | 2016-04-01 |
| 1780060954 | Tamara Santos | Dentist | 7635 Abbott Ave Apt 1, Miami Beach, FL 33141-2339 | 2015-08-10 |
| 1508177577 | Ariel Exposito | Dentist | 333 Arthur Godfrey Rd Ste 818, Miami Beach, FL 33140-3608 | 2010-06-24 |
| 1124345962 | Emmanuelle Anne-marie Zennie | Dentist | 3 Island Ave Apt 3d, Miami Beach, FL 33139-1332 | 2010-05-03 |
| 1417289703 | Beautiful Smiles P.a | Dentist | 227 71st St, Miami Beach, FL 33141-3209 | 2010-02-11 |
| 1992039457 | Robert Drew Iver | Dentist | 1205 Lincoln Road, Suite #207, Miami Beach, FL 33139-2365 | 2009-09-30 |
| 1255508339 | Adam Nicholas Carson | Dentist | 100 Lincoln Rd # Cu7, Miami Beach, FL 33139-2013 | 2008-05-08 |
| 1326224130 | Alexander Oscar Lopez | Dentist | 420 Lincoln Rd Ste 215, Miami Beach, FL 33139-3009 | 2008-01-11 |
| Find all providers in MIAMI BEACH | ||||
| City | MIAMI BEACH |
| Zip Code | 33139 |
Please comment or provide details below to improve the information on DR. BRUCE MICHAEL SHAW.
| 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.