Healthcare Provider Details

I. General information

NPI: 1699270819
Provider Name (Legal Business Name): LAUREN PAIGE SHAPIRO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN SHAPIRO MD

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 DAVIS BLVD STE 308
TAMPA FL
33606-3438
US

IV. Provider business mailing address

17 DAVIS BLVD STE 308
TAMPA FL
33606-3438
US

V. Phone/Fax

Practice location:
  • Phone: 813-627-5931
  • Fax:
Mailing address:
  • Phone: 813-250-2506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME149050
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: