Individual
DR. LAUREN TRACEY SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-6605
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-6605
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
AN52403949095
IL
208100000X
Physical Medicine & Rehabilitation Physician
D67266
MD
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME129168
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018193500
—
MD
Enumeration date
08/14/2007
Last updated
07/25/2024
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