Provider Demographics
NPI:1437117793
Name:SHAPIRO, ANDREW JUSTIN (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:JUSTIN
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1447 MEDICAL PARK BLVD
Mailing Address - Street 2:SUITE 407
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-3164
Mailing Address - Country:US
Mailing Address - Phone:561-333-1335
Mailing Address - Fax:561-333-4252
Practice Address - Street 1:1447 MEDICAL PARK BLVD
Practice Address - Street 2:SUITE 407
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-3164
Practice Address - Country:US
Practice Address - Phone:561-333-1335
Practice Address - Fax:561-333-4252
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2013-01-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 94739208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery