Provider Demographics
NPI:1669681169
Name:BARRY D. SHAPIRO, D.C., P.A.
Entity Type:Organization
Organization Name:BARRY D. SHAPIRO, D.C., P.A.
Other - Org Name:CARROLLWOOD CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHAPIRO, D.C., P.A.
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-962-3608
Mailing Address - Street 1:13301 ORANGE GROVE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2915
Mailing Address - Country:US
Mailing Address - Phone:813-962-3608
Mailing Address - Fax:813-961-8384
Practice Address - Street 1:13301 ORANGE GROVE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2915
Practice Address - Country:US
Practice Address - Phone:813-962-3608
Practice Address - Fax:813-961-8384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty