Healthcare Provider Details

I. General information

NPI: 1205705274
Provider Name (Legal Business Name): MS. SHERANI SEALEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 E ROBERTSON ST
BRANDON FL
33511-5253
US

IV. Provider business mailing address

16350 BRUCE B DOWNS BLVD # 46794
TAMPA FL
33647-3207
US

V. Phone/Fax

Practice location:
  • Phone: 813-730-8424
  • Fax:
Mailing address:
  • Phone: 656-216-6777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11042378
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: