MEDICARE: ENDOSLIM CLINIC FL PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician

General Provider Information

NPI Number	:	1376376061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENDOSLIM CLINIC FL PA

Provider Business Mailing Address
First Line	:	12462 W ATLANTIC BLVD STE 2
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-4086
Country	:	US
Telephone Number	:	954-688-9677
Fax Number	:	754-704-7285

Provider Business Practice Location Address
First Line	:	12462 W ATLANTIC BLVD STE 2
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-4086
Country	:	US
Telephone Number	:	954-688-9677
Fax Number	:	754-704-7285

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALEXANDER SHAPSIS
Credential	:	MD
Telephone Number	:	954-688-9677

Provider Enumeration Date	:	08/20/2024
Last Update Date	:	08/20/2024

Similar Medicare Providers

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Practice Location Address:

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

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Practice Location Address:

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Practice Fax:

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Practice Location Address:

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1437982055 — KHROM MEDSPA & WELLNESS FL PA
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Directions to “ENDOSLIM CLINIC FL PA ” Practice Location

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