MEDICARE: EKATERINA SHAPIRO APRN

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	363L00000X	Nurse Practitioner	11000365	FL

General Provider Information

NPI Number	:	1538639794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EKATERINA SHAPIRO APRN

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	:
Fax Number	:

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	:	786-212-7312
Fax Number	:

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

Provider Enumeration Date	:	11/30/2018
Last Update Date	:	12/01/2018

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Directions to “ EKATERINA SHAPIRO APRN” Practice Location

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