Healthcare Provider Details

I. General information

NPI: 1235046822
Provider Name (Legal Business Name): SHIRLEY HART DOWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6151 MIRAMAR PKWY STE 316
MIRAMAR FL
33023-3996
US

IV. Provider business mailing address

PO BOX 70
OKEECHOBEE FL
34973-0070
US

V. Phone/Fax

Practice location:
  • Phone: 954-603-5100
  • Fax:
Mailing address:
  • Phone: 954-380-2090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: