MEDICARE: SHAPIRO AND BORENSTEIN DERMATOLOGY LLP

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	207N00000X	Dermatology Physician	ME89837	FL
2	207N00000X	Dermatology Physician	ME56948	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1639276694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAPIRO AND BORENSTEIN DERMATOLOGY LLP

Provider Business Mailing Address
First Line	:	11030 RCA CENTER DR
Second Line	:	SUITE 3015
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4276
Country	:	US
Telephone Number	:	561-776-7041
Fax Number	:	561-776-7043

Provider Business Practice Location Address
First Line	:	11030 RCA CENTER DR
Second Line	:	SUITE 3015
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4276
Country	:	US
Telephone Number	:	561-776-7041
Fax Number	:	561-776-7043

Authorized Official
Title or Position	:	PHYSICIAN PARTNER
Name	:	STEVEN DAVID SHAPIRO
Credential	:	MD
Telephone Number	:	561-776-7041

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/24/2015

Similar Medicare Providers

1447214127 — MICHAEL TED BORENSTEIN MD PHD
Practice Location Address:

11030 RCA CENTER DR , SUITE 3015
PALM BEACH GARDENS, FL
33410-4276

Practice Phone: 561-776-7041
Practice Fax: 561-776-7043

1720043466 — DR. STEVEN DAVID SHAPIRO MD
Practice Location Address:

11030 RCA CENTER DR , SUITE 3015
PALM BEACH GARDENS, FL
33410-4276

Practice Phone: 561-776-7041
Practice Fax: 561-776-7043

1477518892 — DR. SUSAN MARIE MATA MD
Practice Location Address:

11030 RCA CENTER DR , STE 3015
PALM BEACH GARDENS, FL
33410-4276

Practice Phone: 561-776-7041
Practice Fax: 561-776-7043

1578780508 — STACEY DEESE BROWN ARNP
Practice Location Address:

11030 RCA CENTER DR , SUITE 3015
PALM BEACH GARDENS, FL
33410-4276

Practice Phone: 561-776-7041
Practice Fax:

1962613943 — DR. VIDYA S RAJPARA MD
Practice Location Address:

11030 RCA CENTER DR , #3015
PALM BEACH GARDENS, FL
33410-4276

Practice Phone: 561-776-7041
Practice Fax:

1609135599 — AMANDA KRISTINE SUGGS
Practice Location Address:

11030 RCA CENTER DR STE 3015
PALM BEACH GARDENS, FL
33410-4276

Practice Phone: 561-776-7041
Practice Fax:

Directions to “SHAPIRO AND BORENSTEIN DERMATOLOGY LLP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.