Individual
DR. BENNETT HOWARD SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7300
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A162294
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
27146
NE
Other
Enumeration date
05/09/2011
Last updated
05/06/2025
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