MEDICARE: SHERLEY LOUIS-MARC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN9495397	FL

General Provider Information

NPI Number	:	1225987860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERLEY LOUIS-MARC

Provider Business Mailing Address
First Line	:	3008 LAKE ALFRED RD
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-1439
Country	:	US
Telephone Number	:	813-703-2219
Fax Number	:

Provider Business Practice Location Address
First Line	:	3008 LAKE ALFRED RD
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-1439
Country	:	US
Telephone Number	:	813-703-2219
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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Directions to “ SHERLEY LOUIS-MARC ” Practice Location

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