Healthcare Provider Details

I. General information

NPI: 1437093440
Provider Name (Legal Business Name): SHIBI SEBASTIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2026
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 N MILLS AVE
ORLANDO FL
32803-1849
US

IV. Provider business mailing address

3353 RED ASH CIR
OVIEDO FL
32766-8105
US

V. Phone/Fax

Practice location:
  • Phone: 407-894-4474
  • Fax:
Mailing address:
  • Phone: 201-561-1703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11046621
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: