Healthcare Provider Details

I. General information

NPI: 1346449741
Provider Name (Legal Business Name): SHARI LEONE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5979 VINELAND RD SUITE 304
ORLANDO FL
32819-7800
US

IV. Provider business mailing address

2137 LAKE DEBRA DR
ORLANDO FL
32835-6379
US

V. Phone/Fax

Practice location:
  • Phone: 407-354-3906
  • Fax:
Mailing address:
  • Phone: 407-616-4344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT22275
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: