MEDICARE: DR. WILLIAM H. SHAW MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	ME12446	FL

General Provider Information

NPI Number	:	1073872586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM H. SHAW MD

Provider Business Mailing Address
First Line	:	5670 VINTAGE OAKS CIRCLE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484
Country	:	US
Telephone Number	:	561-496-7439
Fax Number	:	561-496-7440

Provider Business Practice Location Address
First Line	:	5670 VINTAGE OAKS CIRCLE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484
Country	:	US
Telephone Number	:	561-496-7439
Fax Number	:	561-496-7440

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2012
Last Update Date	:	02/15/2026

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