| Evan R. Shapiro, M.d., P.a. | |
|
600 University Blvd Suite 200-b Jupiter FL 33458-2778 | |
| (561) 625-0700 | |
| (561) 691-6025 |
| Full Name | Evan R. Shapiro, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 University Blvd, Jupiter, Florida |
| Authorized Official Name and Position | Evan Robert Shapiro (PHYSICIAN/PRESIDENT OF P.A.) |
| Authorized Official Contact | 5616250700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evan R. Shapiro, M.d., P.a. 600 University Blvd Suite 200-b Jupiter FL 33458-2778 Ph: (561) 625-0700 | Evan R. Shapiro, M.d., P.a. 600 University Blvd Suite 200-b Jupiter FL 33458-2778 Ph: (561) 625-0700 |
| NPI Number | 1316945470 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 09/21/2007 |
| Medicare PECOS PAC ID | 9830362151 |
|---|---|
| Medicare Enrollment ID | O20111102000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316945470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0063565 (Florida) | Primary |
| Provider Name | Evan R Shapiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528230653 PECOS PAC ID: 5496701930 Enrollment ID: I20050328000608 |
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