Healthcare Provider Details

I. General information

NPI: 1225932353
Provider Name (Legal Business Name): DOLORES SHEPPARD RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1049 DESERT CANDLE DR
OCOEE FL
34761-5336
US

IV. Provider business mailing address

1049 DESERT CANDLE DR
OCOEE FL
34761-5336
US

V. Phone/Fax

Practice location:
  • Phone: 321-202-5532
  • Fax:
Mailing address:
  • Phone: 321-202-5532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279G1100X
TaxonomyGeneral Care Registered Respiratory Therapist
License NumberRT13292
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: