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NPI Code Detail

MEDICARE: PROF. BELINDA SUE SHAPIRO ED.D, ATC/L

MEDICARE:  PROF. BELINDA SUE SHAPIRO  ED.D, ATC/L
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
12255A2300XAthletic TrainerAL720FL

General Provider Information

NPI Number : 1962475475
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. BELINDA SUE SHAPIRO ED.D, ATC/L
Provider Business Mailing Address
First Line : 10421 SW 139TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33176-6689
Country : US
Telephone Number : 305-256-1656
Fax Number :
Provider Business Practice Location Address
First Line : 11300 NE 2ND AVE
Second Line :
City : MIAMI SHORES
State : FL
Zip : 33161-6628
Country : US
Telephone Number : 305-899-3574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 07/08/2007

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Directions to “ PROF. BELINDA SUE SHAPIRO ED.D, ATC/L” Practice Location

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