Provider Demographics
NPI:1487297859
Name:SHAPIRO, DEVON LORETTE (APRN)
Entity type:Individual
Prefix:
First Name:DEVON
Middle Name:LORETTE
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DEVON
Other - Middle Name:
Other - Last Name:SARVARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5225 17TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33714-2705
Mailing Address - Country:US
Mailing Address - Phone:850-320-5474
Mailing Address - Fax:
Practice Address - Street 1:111 N ORANGE AVE STE 800
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-2381
Practice Address - Country:US
Practice Address - Phone:888-731-8994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-17
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11003967363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104652800Medicaid
FLQKTV7OtherFLORIDA BLUE