Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Dudley Alan Shaw, PA

Individual provider Medical Physician Assistant · NPI 1598768210

Mr. Dudley Alan Shaw, PA is a Medical Physician Assistant in Palm Coast, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

6 Ofc Park DR
Palm Coast, FL 32137-3808
Phone: (386) 447-6615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2468 (FL)

Record details

NPI number1598768210
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 27, 2005
Last updated in NPPESJuly 13, 2026

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