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NPI Code Detail

MEDICARE: DR. DEBORA GOLDSCHMIEDT SHAPIRO D.D.S.

MEDICARE: DR. DEBORA GOLDSCHMIEDT SHAPIRO D.D.S.
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
11223X0400XOrthodontics and Dentofacial Orthopedics DentistryDN22505FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518300888
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORA GOLDSCHMIEDT SHAPIRO D.D.S.
Provider Business Mailing Address
First Line : 3721 N 53RD AVE
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-2204
Country : US
Telephone Number : 972-896-1646
Fax Number :
Provider Business Practice Location Address
First Line : 3301 COLLEGE AVE
Second Line :
City : DAVIE
State : FL
Zip : 33314-7796
Country : US
Telephone Number : 954-262-1789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2013
Last Update Date : 08/12/2020

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