Healthcare Provider Details

I. General information

NPI: 1952325599
Provider Name (Legal Business Name): ALEXANDER SHAPSIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12462 W ATLANTIC BLVD STE 2
CORAL SPRINGS FL
33071-4086
US

IV. Provider business mailing address

2797 OCEAN PKWY STE 1
BROOKLYN NY
11235-7868
US

V. Phone/Fax

Practice location:
  • Phone: 954-688-9677
  • Fax: 754-704-7285
Mailing address:
  • Phone: 718-615-4001
  • Fax: 929-292-9770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number239090
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME163668
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: