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Individual

KENNETH SHAPIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6021 142ND AVE N, CLEARWATER, FL 33760-2822
(727) 796-6900
Mailing address
7209 PROMENADE DR APT 601, BOCA RATON, FL 33433-2809
(561) 271-9497
(888) 857-7246

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO3126
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101996200
FL
Enumeration date
10/01/2018
Last updated
05/21/2024
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