Healthcare Provider Details

I. General information

NPI: 1306773338
Provider Name (Legal Business Name): SHAREEN E MAUGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 COLOR PL STE 100
APOPKA FL
32703-7718
US

IV. Provider business mailing address

2475 MEDICINE LAKE DR APT 103
APOPKA FL
32703-0163
US

V. Phone/Fax

Practice location:
  • Phone: 407-802-6993
  • Fax:
Mailing address:
  • Phone: 407-802-6993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: