Healthcare Provider Details

I. General information

NPI: 1689922270
Provider Name (Legal Business Name): SHEILA E MCLAUGHLIN BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2012
Last Update Date: 08/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 SOUTH FEDERAL HIGHWAY STE. #230
STUART FL
34994
US

IV. Provider business mailing address

1111 SOUTH FEDERAL HIGHWAY STE. #230
STUART FL
34994
US

V. Phone/Fax

Practice location:
  • Phone: 772-221-4088
  • Fax: 772-221-4089
Mailing address:
  • Phone: 772-221-4088
  • Fax: 772-221-4089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: