Healthcare Provider Details

I. General information

NPI: 1205840337
Provider Name (Legal Business Name): GEORGE C SHAPIRO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S OLIVE AVE STE 118
WEST PALM BEACH FL
33401-6197
US

IV. Provider business mailing address

701 S OLIVE AVE STE 118
WEST PALM BEACH FL
33401-6197
US

V. Phone/Fax

Practice location:
  • Phone: 914-413-2111
  • Fax:
Mailing address:
  • Phone: 914-413-2111
  • Fax: 206-278-9279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number179543
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number179543
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: