Provider Demographics
NPI:1720043466
Name:SHAPIRO, STEVEN DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DAVID
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11030 RCA CENTER DR
Mailing Address - Street 2:SUITE 3015
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4276
Mailing Address - Country:US
Mailing Address - Phone:561-776-7041
Mailing Address - Fax:561-776-7043
Practice Address - Street 1:11030 RCA CENTER DR
Practice Address - Street 2:SUITE 3015
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4276
Practice Address - Country:US
Practice Address - Phone:561-776-7041
Practice Address - Fax:561-776-7043
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME56948207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F82765Medicare UPIN
FL38793Medicare PIN