Individual
MRS. KIMBERLY MILLIGAN SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
461 S NOVA RD, ORMOND BEACH, FL 32174-6138
(386) 671-4337
Mailing address
6 SUNDROP WATCH, ORMOND BEACH, FL 32174-2421
(561) 271-8624
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106846
FL
Other
Enumeration date
09/15/2012
Last updated
06/23/2023
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