Individual
DR. CHARLES MICHAEL SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3850 SHERIDAN ST, HOLLYWOOD, FL 33021-3634
(954) 989-5255
(954) 962-6445
Mailing address
3850 SHERIDAN ST, HOLLYWOOD, FL 33021-3634
(954) 989-5255
(954) 962-6445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0002021
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT0002021
FL PT LICENSE
FL
Enumeration date
03/09/2007
Last updated
08/30/2012
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