Healthcare Provider Details

I. General information

NPI: 1710982962
Provider Name (Legal Business Name): SHEILA D'NODAL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 N OCEAN DR APT 901
HOLLYWOOD FL
33019-4617
US

IV. Provider business mailing address

6001 N OCEAN DR APT 901
HOLLYWOOD FL
33019-4617
US

V. Phone/Fax

Practice location:
  • Phone: 516-647-3912
  • Fax:
Mailing address:
  • Phone: 516-459-5477
  • Fax: 516-459-5477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME114764
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: