Provider Demographics
NPI:1942265046
Name:SHAPIRO, ROCHELLE J (MD)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:J
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:190 CONGRESS PARK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4706
Mailing Address - Country:US
Mailing Address - Phone:561-272-4101
Mailing Address - Fax:561-272-4102
Practice Address - Street 1:190 CONGRESS PARK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4706
Practice Address - Country:US
Practice Address - Phone:561-272-4101
Practice Address - Fax:561-272-4102
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME44094207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL273678100Medicaid
FL273678100Medicaid
FL299212Medicare ID - Type Unspecified