Individual
MR. SHAWN GIDARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 GUMWOOD CT, ALTAMONTE SPRINGS, FL 32714-2305
(321) 444-8276
(207) 352-5341
Mailing address
502 GUMWOOD CT, ALTAMONTE SPRINGS, FL 32714-2305
(321) 444-8276
(207) 352-5341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5081392206971162
—
FL
01
—
8197212228
OPTUMRX
FL
Enumeration date
12/03/2016
Last updated
02/09/2026
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