MEDICARE: BASMA SHENODA

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	122300000X	Dentist	DN30998	FL
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1245043694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BASMA SHENODA

Provider Business Mailing Address
First Line	:	1511 NE PINE ISLAND RD STE 140
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-2322
Country	:	US
Telephone Number	:	855-560-7216
Fax Number	:

Provider Business Practice Location Address
First Line	:	1511 NE PINE ISLAND RD STE 140
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-2322
Country	:	US
Telephone Number	:	855-560-7216
Fax Number	:

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

Provider Enumeration Date	:	01/29/2025
Last Update Date	:	05/28/2026

Similar Medicare Providers

1902752595 — YOANDRA GUTIERREZ AVILA
Practice Location Address:

504 NW 4TH ST
CAPE CORAL, FL
33993-2322

Practice Phone: 505-340-4952
Practice Fax:

1790616118 — KALEY COBURGER
Practice Location Address:

1490 NE PINE ISLAND RD
CAPE CORAL, FL
33909-2135

Practice Phone: 239-427-2381
Practice Fax:

1346011541 — FANY BUSTILLO RBT-23-314085
Practice Location Address:

1913 NE 4TH PL
CAPE CORAL, FL
33909-5210

Practice Phone: 308-258-1792
Practice Fax:

1841037017 — MACKENZIE GRAHAM CUNNIUS FNP-BC
Practice Location Address:

632 DEL PRADO BLVD N STE 301
CAPE CORAL, FL
33909-2278

Practice Phone: 239-768-2111
Practice Fax:

1124646880 — ESTEFANIA ESCOBAR M.S., CCC-SLP
Practice Location Address:

321 NE 19TH AVE
CAPE CORAL, FL
33909-2715

Practice Phone: 786-397-0034
Practice Fax:

1467381301 — ARISLEIDYS OCHOA
Practice Location Address:

2116 NE 6TH ST
CAPE CORAL, FL
33909-2265

Practice Phone: 786-690-4267
Practice Fax:

Directions to “ BASMA SHENODA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.