Healthcare Provider Details

I. General information

NPI: 1518911171
Provider Name (Legal Business Name): SHAUNA KIMBERLY FIORENTINO OTR L CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 THE RIALTO
VENICE FL
34285-3524
US

IV. Provider business mailing address

744 THE RIALTO
VENICE FL
34285-3524
US

V. Phone/Fax

Practice location:
  • Phone: 941-484-5500
  • Fax: 941-484-5510
Mailing address:
  • Phone: 941-484-5500
  • Fax: 941-484-5510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT26937
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: