Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kimberly Milligan Shapiro, PA

Individual provider Medical Physician Assistant · NPI 1073863163

Mrs. Kimberly Milligan Shapiro, PA is a Physician Assistant in Ormond Beach, Florida. Qualified in 2012, 14 years ago. Practices with Florida Health Care Plan Inc, a 98-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

461 S Nova Rd
Ormond Beach, FL 32174-6138
Phone: (386) 671-4337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9106846 (FL)

Record details

NPI number1073863163
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 15, 2012
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Florida Health Care Plan Inc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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