Provider Demographics
NPI:1952352817
Name:SHAPIRO, HENRY LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:LAWRENCE
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:801 6TH ST S
Mailing Address - Street 2:DEPT 7825
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4816
Mailing Address - Country:US
Mailing Address - Phone:727-767-8035
Mailing Address - Fax:727-767-4765
Practice Address - Street 1:801 6TH ST S
Practice Address - Street 2:DEPT 7825
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4816
Practice Address - Country:US
Practice Address - Phone:727-767-8035
Practice Address - Fax:727-767-4765
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2011-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME691532080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL378614500Medicaid
FLF51039Medicare UPIN