Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1942232996 |
---|---|
Provider Name | Mr. Jeffrey Joseph Shapiro |
First Address | Coral Springs, FL 33071-8131 |
Second Address | Oakland Park, FL 33334-3406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
LONGSHADOW | 2270 (01) | FL |