Healthcare Provider Details

I. General information

NPI: 1528866365
Provider Name (Legal Business Name): SHEILA BAPTISTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2025
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10810 BOYETTE RD # 572
RIVERVIEW FL
33569-8000
US

IV. Provider business mailing address

10810 BOYETTE RD # 572
RIVERVIEW FL
33569-8000
US

V. Phone/Fax

Practice location:
  • Phone: 813-317-3002
  • Fax:
Mailing address:
  • Phone: 813-317-3002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2472E0500X
TaxonomyEEG Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: