Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 047023 | GA |
Y | 207W00000X | Ophthalmologist | ME106417 | FL |
NPI | 1013974427 |
---|---|
Provider Name | Dr. Andrew Charles Shatz |
First Address | Sunrise, FL 33323-2883 |
Second Address | Sunrise, FL 33323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 15/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00825415F | (05) | GA |
G98422 | (02) | GA |