MEDICARE: DR. JASON SHAPIRO MD

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	207R00000X	Internal Medicine Physician	25MA07863400	NJ
2	208D00000X	General Practice Physician	25MA07863400	NJ
3	207R00000X	Internal Medicine Physician	ME93229	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1457346165	OTHER	FL	INTERNAL MEDICINE

General Provider Information

NPI Number	:	1457346165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON SHAPIRO MD

Provider Business Mailing Address
First Line	:	777 ARTHUR GODFREY RD STE 300
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3444
Country	:	US
Telephone Number	:	305-763-8832
Fax Number	:	305-763-8883

Provider Business Practice Location Address
First Line	:	777 ARTHUR GODFREY RD STE 300
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3444
Country	:	US
Telephone Number	:	305-763-8832
Fax Number	:	305-763-8883

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	02/19/2024

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Directions to “ DR. JASON SHAPIRO MD” Practice Location

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