Healthcare Provider Details

I. General information

NPI: 1760165187
Provider Name (Legal Business Name): LA'SHANDA SUNSHINE TAYLOR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1597 NORMANDY HEIGHTS BLVD
WINTER HAVEN FL
33880-5324
US

IV. Provider business mailing address

1597 NORMADY HEIGHTS BLVD
WINTER HAVEN FL
33880-5324
US

V. Phone/Fax

Practice location:
  • Phone: 863-205-6287
  • Fax: 863-260-9591
Mailing address:
  • Phone: 863-205-6287
  • Fax: 863-260-9591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN11027986
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License NumberAPRN11027986
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN11027986
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11027986
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: