Active NPI 1134184070 Individual Practitioner Male Practitioner

Dr. Marc D Shapiro , MD

Specialist • Winter Park, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marc Shapiro, MD is a certified Specialist practicing in Winter Park, FL. With approximately 52 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 1974, Dr. Shapiro delivers high-quality medical care to the local community at 2111 GLENWOOD DR STE 101.

Dr. Shapiro is affiliated with Simonmed Imaging Florida Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, injection, gadoteridol, (prohance multipack), per ml, mri scan of brain before and after contrast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2111 Glenwood Dr Ste 101

Winter Park, FL 327923328

Telephone 4074781550

Fax 4074781540

Associated Practice Facility / Clinic

🏢 Neuro Imaging Institute Of Winter Park, Ltd Facility NPI 1730173089

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

1974

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Winter Park, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

52 Yrs +7.7 yrs vs City Avg

City Avg: 44.3 Yrs

State Avg: 37.8 Yrs

Regional Practice Density

36 Specialists

Practicing in Winter Park, FL (3036 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shapiro (52 Years) 52 Yrs

Winter Park Specialty Average (44.3 Years) 44.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,413	56	$0.50	$0.13
A9576 Injection, gadoteridol, (prohance multipack), per ml	3,048	293	$5.00	$1.46
70553 Mri scan of brain before and after contrast	263	218	$2250.00	$275.40
70551 Mri scan of brain without contrast	156	138	$1500.00	$185.94
72148 MRI scan of lower spinal canal	131	124	$1500.00	$176.84
72141 MRI scan of upper spinal canal	77	77	$1500.00	$153.19
72146 Mri scan of middle spinal canal	55	49	$1500.00	$137.47
72156 Mri scan of upper spinal canal before and after contrast	54	53	$2250.00	$266.40
73721 Mri scan of leg joint without contrast	40	37	$1500.00	$184.82
70544 Mri scan of blood vessels of head without contrast	38	37	$1500.00	$189.26
73221 Mri scan of arm joint without contrast	36	34	$1500.00	$188.60
70486 CT scan of face	34	34	$600.00	$123.44
71250 Ct scan of chest without contrast	33	33	$600.00	$125.44
72157 Mri scan of middle spinal canal before and after contrast	32	32	$2250.00	$300.78
70450 Ct scan head or brain without contrast	30	29	$600.00	$99.29
72197 Mri scan of pelvis before and after contrast	21	21	$2250.00	$319.57
74183 Mri scan of abdomen before and after contrast	21	20	$2250.00	$327.37
72158 Mri scan of lower spinal canal before and after contrast	21	21	$2250.00	$269.09
76390 Mri study for measuring biochemical changes in the brain	19	11	$1500.00	$192.41
70549 Mri scan of blood vessels of neck before and after contrast	18	18	$2250.00	$322.08
70543 Mri scan of bone of eye socket, face, and/or neck before and after contrast	18	16	$2250.00	$318.93
74176 Ct scan of abdomen and pelvis without contrast	17	17	$1200.00	$178.49
74178 Ct scan of abdomen and pelvis before and after contrast	15	15	$1400.00	$312.55
73718 Mri scan of leg without contrast	15	14	$1500.00	$210.05
73200 Ct scan of arm without contrast	15	13	$600.00	$141.34
70547 Mri scan of blood vessels of neck without contrast	14	14	$1500.00	$201.27
72131 CT scan of lower spine	13	11	$600.00	$108.87
73700 Ct scan of leg without contrast	13	12	$600.00	$122.14
70546 Mra scan of head blood vessels before and after contrast	12	12	$2250.00	$285.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,798	58	$0.50	$0.15
A9576 Injection, gadoteridol, (prohance multipack), per ml	3,348	306	$5.00	$1.40
70553 Mri scan of brain before and after contrast	328	246	$2250.00	$281.60
70551 Mri scan of brain without contrast	182	173	$1496.15	$189.69
72148 MRI scan of lower spinal canal	96	95	$1500.00	$179.63
72141 MRI scan of upper spinal canal	91	91	$1500.00	$160.44
72156 Mri scan of upper spinal canal before and after contrast	57	53	$2250.00	$266.31
70544 Mri scan of blood vessels of head without contrast	54	49	$1500.00	$196.25
73221 Mri scan of arm joint without contrast	53	48	$1500.00	$200.89
71250 Ct scan of chest without contrast	41	39	$600.00	$122.45
76390 Mri study for measuring biochemical changes in the brain	40	21	$1500.00	$198.30
70486 CT scan of face	38	38	$600.00	$125.00
72146 Mri scan of middle spinal canal	33	32	$1500.00	$144.83
70450 Ct scan head or brain without contrast	33	32	$600.00	$97.30
72157 Mri scan of middle spinal canal before and after contrast	32	31	$2250.00	$311.85
72158 Mri scan of lower spinal canal before and after contrast	30	30	$2250.00	$257.60
73721 Mri scan of leg joint without contrast	29	27	$1500.00	$194.96
70549 Mri scan of blood vessels of neck before and after contrast	24	24	$2250.00	$341.17
70547 Mri scan of blood vessels of neck without contrast	21	21	$1500.00	$209.60
74178 Ct scan of abdomen and pelvis before and after contrast	20	19	$1400.00	$340.24
74183 Mri scan of abdomen before and after contrast	20	18	$2250.00	$339.18
73200 Ct scan of arm without contrast	17	16	$600.00	$140.54
70546 Mra scan of head blood vessels before and after contrast	16	16	$2250.00	$294.67
74176 Ct scan of abdomen and pelvis without contrast	16	16	$1200.00	$183.67
70543 Mri scan of bone of eye socket, face, and/or neck before and after contrast	16	16	$2250.00	$337.21
73700 Ct scan of leg without contrast	15	13	$600.00	$121.14
72125 Ct scan of upper spine without contrast	15	15	$600.00	$117.29
70498 Ct scan of blood vessels of neck with contrast	14	14	$850.00	$196.30
70496 Ct scan of blood vessels of head with contrast	14	14	$850.00	$250.33
72131 CT scan of lower spine	14	14	$600.00	$111.73
72197 Mri scan of pelvis before and after contrast	11	11	$2250.00	$315.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	6,949	61	$0.50	$0.12
A9576 Injection, gadoteridol, (prohance multipack), per ml	3,777	313	$5.00	$1.43
70553 Mri scan of brain before and after contrast	327	244	$2250.00	$292.90
70551 Mri scan of brain without contrast	182	175	$1500.00	$187.75
72148 MRI scan of lower spinal canal	112	109	$1500.00	$189.65
72141 MRI scan of upper spinal canal	91	91	$1500.00	$161.52
73721 Mri scan of leg joint without contrast	69	59	$1500.00	$191.81
70544 Mri scan of blood vessels of head without contrast	61	61	$1500.00	$200.48
72156 Mri scan of upper spinal canal before and after contrast	54	54	$2250.00	$275.09
73221 Mri scan of arm joint without contrast	49	45	$1500.00	$202.12
73700 Ct scan of leg without contrast	46	37	$600.00	$127.57
71250 Ct scan of chest without contrast	44	39	$600.00	$122.60
74176 Ct scan of abdomen and pelvis without contrast	36	32	$1200.00	$181.91
70547 Mri scan of blood vessels of neck without contrast	34	34	$1500.00	$217.28
72158 Mri scan of lower spinal canal before and after contrast	32	31	$2250.00	$291.18
72157 Mri scan of middle spinal canal before and after contrast	31	31	$2250.00	$330.82
72146 Mri scan of middle spinal canal	28	28	$1500.00	$140.47
70486 CT scan of face	27	27	$600.00	$129.74
70450 Ct scan head or brain without contrast	26	24	$600.00	$102.60
74178 Ct scan of abdomen and pelvis before and after contrast	25	25	$1400.00	$352.13
74183 Mri scan of abdomen before and after contrast	20	15	$2250.00	$337.29
73718 Mri scan of leg without contrast	20	19	$1500.00	$226.68
70549 Mri scan of blood vessels of neck before and after contrast	20	20	$2250.00	$333.05
72197 Mri scan of pelvis before and after contrast	14	13	$2250.00	$315.25
72195 Mri scan of pelvis without contrast	14	14	$1500.00	$237.34
70546 Mra scan of head blood vessels before and after contrast	13	13	$2250.00	$326.44
70496 Ct scan of blood vessels of head with contrast	13	13	$850.00	$246.48
72131 CT scan of lower spine	12	12	$600.00	$113.73
72125 Ct scan of upper spine without contrast	11	11	$600.00	$124.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	7,369	63	$0.50	$0.12
A9576 Injection, gadoteridol, (prohance multipack), per ml	4,603	282	$5.00	$1.43
70553 Mri scan of brain before and after contrast	300	230	$2250.00	$310.48
A9575 Injection, gadoterate meglumine, 0.1 ml	159	13	$5.00	$0.16
70551 Mri scan of brain without contrast	133	129	$1500.00	$201.39
72148 MRI scan of lower spinal canal	93	91	$1500.00	$192.88
73221 Mri scan of arm joint without contrast	70	62	$1500.00	$211.09
72141 MRI scan of upper spinal canal	68	67	$1500.00	$185.87
70544 Mri scan of blood vessels of head without contrast	64	63	$1500.00	$205.76
72156 Mri scan of upper spinal canal before and after contrast	57	57	$2250.00	$306.80
73721 Mri scan of leg joint without contrast	53	45	$1500.00	$207.32
71250 Ct scan of chest without contrast	41	40	$600.00	$123.61
72158 Mri scan of lower spinal canal before and after contrast	37	37	$2250.00	$297.24
70450 Ct scan head or brain without contrast	35	33	$600.00	$100.37
70547 Mri scan of blood vessels of neck without contrast	33	33	$1500.00	$226.82
74176 Ct scan of abdomen and pelvis without contrast	28	26	$1200.00	$188.05
73700 Ct scan of leg without contrast	27	23	$600.00	$131.62
70486 CT scan of face	24	24	$600.00	$134.72
70549 Mri scan of blood vessels of neck before and after contrast	22	22	$2250.00	$369.62
72157 Mri scan of middle spinal canal before and after contrast	22	22	$2250.00	$351.48
72146 Mri scan of middle spinal canal	21	19	$1500.00	$154.06
74177 Ct scan of abdomen and pelvis with contrast	16	14	$1300.00	$309.03
73718 Mri scan of leg without contrast	16	16	$1500.00	$233.72
74178 Ct scan of abdomen and pelvis before and after contrast	13	13	$1400.00	$363.32
70470 Ct scan of head or brain before and after contrast	11	11	$700.00	$163.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9576 Injection, gadoteridol, (prohance multipack), per ml	5,013	263	$5.00	$1.40
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4,990	44	$0.50	$0.11
70553 Mri scan of brain before and after contrast	252	192	$2250.00	$299.32
70551 Mri scan of brain without contrast	113	111	$1500.00	$197.85
73221 Mri scan of arm joint without contrast	91	83	$1500.00	$206.99
72148 MRI scan of lower spinal canal	85	84	$1500.00	$191.44
72141 MRI scan of upper spinal canal	56	55	$1500.00	$171.63
72156 Mri scan of upper spinal canal before and after contrast	54	54	$2250.00	$286.81
70544 Mri scan of blood vessels of head without contrast	47	46	$1500.00	$213.61
71250 Ct scan of chest without contrast	35	29	$600.00	$134.13
70486 CT scan of face	35	34	$600.00	$125.11
72158 Mri scan of lower spinal canal before and after contrast	31	30	$2250.00	$304.61
70450 Ct scan head or brain without contrast	28	26	$600.00	$90.53
73721 Mri scan of leg joint without contrast	28	26	$1500.00	$197.99
72157 Mri scan of middle spinal canal before and after contrast	26	26	$2250.00	$328.70
74176 Ct scan of abdomen and pelvis without contrast	24	24	$1200.00	$185.41
73700 Ct scan of leg without contrast	23	18	$600.00	$134.21
70547 Mri scan of blood vessels of neck without contrast	20	20	$1500.00	$228.15
73200 Ct scan of arm without contrast	20	20	$600.00	$151.66
74178 Ct scan of abdomen and pelvis before and after contrast	15	15	$1400.00	$326.68
70549 Mri scan of blood vessels of neck before and after contrast	15	15	$2250.00	$358.19
73720 Mri scan of leg before and after contrast	14	13	$2250.00	$355.51
72146 Mri scan of middle spinal canal	14	14	$1500.00	$149.34
74177 Ct scan of abdomen and pelvis with contrast	12	12	$1300.00	$279.50
72131 CT scan of lower spine	12	12	$600.00	$116.54
72197 Mri scan of pelvis before and after contrast	11	11	$2250.00	$316.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,943	52	$0.50	$0.11
A9576 Injection, gadoteridol, (prohance multipack), per ml	5,513	302	$5.00	$1.39
70553 Mri scan of brain before and after contrast	284	229	$2244.72	$308.51
70551 Mri scan of brain without contrast	130	126	$1505.77	$211.71
72148 MRI scan of lower spinal canal	92	91	$1500.00	$189.37
72156 Mri scan of upper spinal canal before and after contrast	76	74	$2250.00	$294.59
73221 Mri scan of arm joint without contrast	67	62	$1500.00	$218.30
72141 MRI scan of upper spinal canal	58	58	$1500.00	$180.23
70544 Mri scan of blood vessels of head without contrast	47	46	$1500.00	$234.08
73721 Mri scan of leg joint without contrast	46	42	$1500.00	$209.84
73700 Ct scan of leg without contrast	46	36	$600.00	$137.35
72157 Mri scan of middle spinal canal before and after contrast	36	35	$2250.00	$349.29
70450 Ct scan head or brain without contrast	30	27	$600.00	$107.60
72158 Mri scan of lower spinal canal before and after contrast	30	30	$2250.00	$313.97
71250 Ct scan of chest without contrast	29	25	$600.00	$140.56
70486 CT scan of face	24	24	$600.00	$129.00
72146 Mri scan of middle spinal canal	21	21	$1500.00	$186.05
74176 Ct scan of abdomen and pelvis without contrast	18	18	$1200.00	$183.30
70547 Mri scan of blood vessels of neck without contrast	17	17	$1500.00	$267.79
73718 Mri scan of leg without contrast	15	12	$1500.00	$245.95
70549 Mri scan of blood vessels of neck before and after contrast	15	15	$2250.00	$408.63
72131 CT scan of lower spine	15	15	$600.00	$143.88
72197 Mri scan of pelvis before and after contrast	13	13	$2250.00	$341.35
73720 Mri scan of leg before and after contrast	13	12	$2250.00	$362.21
73200 Ct scan of arm without contrast	13	12	$600.00	$137.59
74183 Mri scan of abdomen before and after contrast	13	13	$2250.00	$370.74
74178 Ct scan of abdomen and pelvis before and after contrast	12	12	$1400.00	$348.21
74177 Ct scan of abdomen and pelvis with contrast	11	11	$1300.00	$288.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,775	50	$0.50	$0.12
A9576 Injection, gadoteridol, (prohance multipack), per ml	5,415	312	$5.00	$1.58
70553 Mri scan of brain before and after contrast	313	249	$2250.00	$313.20
70551 Mri scan of brain without contrast	148	145	$1500.00	$213.78
72148 MRI scan of lower spinal canal	103	102	$1500.00	$199.53
73221 Mri scan of arm joint without contrast	68	62	$1500.00	$220.95
72156 Mri scan of upper spinal canal before and after contrast	60	59	$2250.00	$324.53
70544 Mri scan of blood vessels of head without contrast	57	51	$1500.00	$252.69
72141 MRI scan of upper spinal canal	55	55	$1500.00	$195.94
73721 Mri scan of leg joint without contrast	54	46	$1500.00	$215.60
70450 Ct scan head or brain without contrast	50	46	$600.00	$106.41
70486 CT scan of face	44	43	$600.00	$128.70
73700 Ct scan of leg without contrast	32	25	$600.00	$141.27
72158 Mri scan of lower spinal canal before and after contrast	28	28	$2250.00	$336.36
71250 Ct scan of chest without contrast	26	22	$600.00	$148.76
72157 Mri scan of middle spinal canal before and after contrast	26	26	$2250.00	$352.60
74176 Ct scan of abdomen and pelvis without contrast	22	20	$1200.00	$171.75
72131 CT scan of lower spine	20	19	$600.00	$145.61
70547 Mri scan of blood vessels of neck without contrast	18	18	$1500.00	$272.68
70549 Mri scan of blood vessels of neck before and after contrast	18	18	$2250.00	$481.54
72146 Mri scan of middle spinal canal	15	14	$1500.00	$189.89
70491 CT scan of neck with contrast	11	11	$650.00	$191.75
72125 Ct scan of upper spine without contrast	11	11	$600.00	$161.33
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$1400.00	$338.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	7,300	56	$0.50	$0.12
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	5,702	320	$5.00	$1.83
70553 Mri scan of brain before and after contrast	324	259	$2250.00	$324.01
70551 Mri scan of brain without contrast	140	135	$1500.00	$215.56
72148 MRI scan of lower spinal canal	104	103	$1500.00	$198.16
72141 MRI scan of upper spinal canal	62	61	$1500.00	$184.52
72156 Mri scan of upper spinal canal before and after contrast	59	58	$2250.00	$325.94
73221 Mri scan of arm joint without contrast	57	51	$1500.00	$214.82
73721 Mri scan of leg joint without contrast	47	40	$1500.00	$209.47
70544 Mri scan of blood vessels of head without contrast	46	42	$1500.00	$256.56
70450 Ct scan head or brain without contrast	35	31	$600.00	$105.85
72157 Mri scan of middle spinal canal before and after contrast	28	28	$2250.00	$352.14
72158 Mri scan of lower spinal canal before and after contrast	24	24	$2250.00	$328.15
70486 CT scan of face	23	22	$600.00	$130.73
71250 Ct scan of chest without contrast	21	19	$600.00	$148.85
73700 Ct scan of leg without contrast	20	19	$600.00	$152.08
70547 Mri scan of blood vessels of neck without contrast	18	18	$1500.00	$271.50
72146 Mri scan of middle spinal canal	18	18	$1500.00	$195.05
74178 Ct scan of abdomen and pelvis before and after contrast	16	15	$1400.00	$341.98
74176 Ct scan of abdomen and pelvis without contrast	16	15	$1200.00	$182.10
70470 Ct scan of head or brain before and after contrast	13	13	$700.00	$176.59
70549 Mri scan of blood vessels of neck before and after contrast	12	11	$2250.00	$490.69

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME28268

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

049371600 (FL)

Hospital & Practice Group Affiliations

Simonmed Imaging Florida Llc

7806 Lake Underhill Rd, Orlando, FL 328228232

Phone: 4076086800

Simonmed Imaging Florida Llc

613 Oakfield Dr, Brandon, FL 335115714

Phone: 8137038027

Simonmed Imaging Florida Llc

1639 N Volusia Ave, Orange City, FL 327633843

Phone: 3867747226

Simonmed Imaging Florida Llc

6215 21st Ave W A, Bradenton, FL 342097819

Phone: 9417954449

Simonmed Imaging Florida Llc

4161 Tamiami Trl, Port Charlotte, FL 339529204

Phone: 9412353280

Simonmed Imaging Florida Llc

730 Goodlette Rd, Naples, FL 341025617

Phone: 2393070234

Simonmed Imaging Florida Llc

225 W State Rd 434, Longwood, FL 327504980

Phone: 4073041000

Simonmed Imaging Florida Llc

10910 State Rd 70 E, Lakewood Ranch, FL 342028406

Phone: 9419541900

Simonmed Imaging Florida Llc

14302 Bruce B Downs Blvd, Tampa, FL 336132601

Phone: 8139797580

Simonmed Imaging Florida Llc

6250 Lake Osprey Dr, Lakewood Ranch, FL 342408423

Phone: 9419579340

Simonmed Imaging Florida Llc

775 N Alafaya Trl, Orlando, FL 328287047

Phone: 3212358700

Simonmed Imaging Florida Llc

840 Dr Martin Luther King Jr St N, St Petersburg, FL 337051214

Phone: 7274408250

Simonmed Imaging Florida Llc

5831 Bee Ridge Rd, Sarasota, FL 342335089

Phone: 9419541900

Simonmed Imaging Florida Llc

4800 Park Blvd N, Pinellas Park, FL 337813534

Phone: 7275252121

Simonmed Imaging Florida Llc

208 W Oak St, Kissimmee, FL 347414420

Phone: 4078468700

Simonmed Imaging Florida Llc

10010 N Dale Mabry Hwy 150, Tampa, FL 336184469

Phone: 8139648439

Simonmed Imaging Florida Llc

4051 Upper Creek Dr, Sun City Center, FL 335736848

Phone: 8136340010

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2012

Registered at 2111 GLENWOOD DR STE 101, WINTER PARK, FL 327923328 (Tel: 4074781550)

📍

Updated Business Mailing Address May 24, 2012

Registered at 2111 GLENWOOD DR STE 101, WINTER PARK, FL 327923328 (Tel: 4074781550)

👤

Provider Name / Credentials Updated May 24, 2012

Recorded as MARC SHAPIRO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2012

Specialist (License #ME28268 in FL)

🟢

Initial NPI Registration & Enumeration April 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134184070

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 20, 2006

Last Update: May 24, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2111 Glenwood Dr Ste 101

Winter Park, FL 327923328

Phone: 4074781550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.