Healthcare Provider Details

I. General information

NPI: 1700403771
Provider Name (Legal Business Name): SHEENA DEVA PARMAR PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2020
Last Update Date: 01/26/2022
Certification Date: 01/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5165 ADANSON ST
ORLANDO FL
32804-1331
US

IV. Provider business mailing address

2577 TURTLEHEAD CV
OVIEDO FL
32766-6730
US

V. Phone/Fax

Practice location:
  • Phone: 352-394-0212
  • Fax:
Mailing address:
  • Phone: 407-808-0616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT35548
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: