Healthcare Provider Details

I. General information

NPI: 1386529360
Provider Name (Legal Business Name): SASHALEE NATALEE GAYLE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SASHALEE NATALEE ROYSTON

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 NW 13TH ST
BOCA RATON FL
33486-2305
US

IV. Provider business mailing address

3906 SLEEPY ORANGE LN
COCONUT CREEK FL
33073-4601
US

V. Phone/Fax

Practice location:
  • Phone: 561-955-6970
  • Fax:
Mailing address:
  • Phone: 954-854-6896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number9556778
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: