Healthcare Provider Details

I. General information

NPI: 1558868612
Provider Name (Legal Business Name): SHEILA LLANES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2018
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 NW 92ND ST
MIAMI SHORES FL
33150-2231
US

IV. Provider business mailing address

218 NW 92ND ST
MIAMI SHORES FL
33150-2231
US

V. Phone/Fax

Practice location:
  • Phone: 305-494-2709
  • Fax:
Mailing address:
  • Phone: 305-494-2709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME163691
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: