Healthcare Provider Details

I. General information

NPI: 1306626080
Provider Name (Legal Business Name): SHELLMANS ART OF NOTARY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2023
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10940 N 56TH ST STE 201
TEMPLE TERRACE FL
33617-3005
US

IV. Provider business mailing address

1106 BRISTOLWOOD ST
BRANDON FL
33510-2607
US

V. Phone/Fax

Practice location:
  • Phone: 813-578-7547
  • Fax:
Mailing address:
  • Phone: 813-578-7547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. TOMACO SHELLMAN
Title or Position: OWNER
Credential:
Phone: 813-578-7547