Healthcare Provider Details

I. General information

NPI: 1942118435
Provider Name (Legal Business Name): SHELLEY DOWNWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1939 MAGUIRE RD # 107-108
WINDERMERE FL
34786-7942
US

IV. Provider business mailing address

1112 QUEEN ELAINE DR
CASSELBERRY FL
32707-3931
US

V. Phone/Fax

Practice location:
  • Phone: 407-473-8005
  • Fax: 321-236-6160
Mailing address:
  • Phone: 407-951-4877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT24411
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: