MICHAEL ALAN SHAPIRO MD PA
Osteopathic Medicine at Eau Gallie Blvd, Melbourne, FL

License number
Florida ME72584
Category
Osteopathic Medicine
Type
Undersea and Hyperbaric Medicine
Owner
Name: MICHAEL ALAN SHAPIRO MD
Title: PRESIDENT/OWNER
Phone: (321) 254-6218
Address
Address
2080 W Eau Gallie Blvd, Melbourne, FL 32935
National Provider ID: 1790946465
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Michael Alan Shapiro, MD, PA

Melbourne, FL

Status:
Inactive
Registration:
Jan 2, 1998
Addresses:
2080 W Eau Gallie Blvd, Melbourne, FL 32935
128 Lansing Is Dr, Melbourne, FL 32937
State ID:
P98000000904
Business type:
Domestic for Profit Corporation
Director:
Michael A. Shapiro Director, inactive

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