Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 11173 | FL |
NPI | 1003919879 |
---|---|
Provider Name | Dr. Dora Vilk-Shapiro |
First Address | Coral Springs, FL 33071-8970 |
Second Address | Coral Springs, FL 33071-8970 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 08/07/2007 |