Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA LATOYA SHAW
Active Sole ProprietorHome Delivered Meals · PORT ST LUCIE, FL
Registration Details
- NPI Number
- 1427876069
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2024 (1.5539111941043 yrs)
- Last Updated
- Oct 2, 2024
- License
-
238034 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
357 SW LOG DRPORT ST LUCIE, FL, 349537501Browse FL providers · Browse ZIP 34953
- Phone
- 7722743320
- Primary Specialty
-
Home Delivered Meals
332U00000X
- Additional Specialty
- Home Delivered Meals
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.