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Kimberly
Kimberly
Shapiro
Physician assistant
Medical
Ormond Beach, United States
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Florida Health Care Practitioner Data Portal
Full name
KIMBERLY SHAPIRO
Job Title
Physician Assistant
Location
Ormond Beach, FL, USA
LIC ID
9812
Current License Expiration Date
31/01/2026
Original Date
18/09/2012
Professional Rank Code
PA
Effective Date
18/09/2012
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
VOLUSIA
Practice Location Address Line 1
461 SO NOVA ROAD
Practice Location Address City
ORMOND BEACH
Practice Location Address State
FL
Practice Location Address Zipcode
32174
Mode Code
Prescribing
Prescribing Indicator
Y
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