Provider Demographics
NPI:1891732749
Name:GILBERT SHAPIRO
Entity Type:Organization
Organization Name:GILBERT SHAPIRO
Other - Org Name:TRUMAN MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-296-4399
Mailing Address - Street 1:540 TRUMAN AVE
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-3141
Mailing Address - Country:US
Mailing Address - Phone:305-296-4399
Mailing Address - Fax:305-294-8270
Practice Address - Street 1:540 TRUMAN AVE
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-3141
Practice Address - Country:US
Practice Address - Phone:305-296-4399
Practice Address - Fax:305-294-8270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 51339207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL04560AMedicare ID - Type Unspecified
FLE34010Medicare UPIN