Healthcare Provider Details
I. General information
NPI: 1760315709
Provider Name (Legal Business Name): FOUNDATIONS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12209 NE STATE ROAD 26
GAINESVILLE FL
32641-2735
US
IV. Provider business mailing address
12209 NE STATE ROAD 26
GAINESVILLE FL
32641-2735
US
V. Phone/Fax
- Phone: 386-227-6734
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EMILY
ANNE
SHEFFIELD
Title or Position: OWNER
Credential: RN
Phone: 407-952-9637