Provider Demographics
NPI:1588838742
Name:ANDREW J SHAPIRO MD PA
Entity Type:Organization
Organization Name:ANDREW J SHAPIRO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-906-9797
Mailing Address - Street 1:4095 STATE ROAD 7
Mailing Address - Street 2:SUITE L 148
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33449-8178
Mailing Address - Country:US
Mailing Address - Phone:561-906-9797
Mailing Address - Fax:
Practice Address - Street 1:10115 W FOREST HILL BLVD
Practice Address - Street 2:SUITE 405
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-3105
Practice Address - Country:US
Practice Address - Phone:561-333-3212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty