MEDICARE: SHEENA EARLY

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	247ZC0005X	Clinical Laboratory Director (Non-physician)		FL
2	246QL0900X	Laboratory Management Specialist/Technologist		FL

General Provider Information

NPI Number	:	1376476788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEENA EARLY

Provider Business Mailing Address
First Line	:	1106 CROSSTOWN WAY UNIT 2203
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-8329
Country	:	US
Telephone Number	:	321-532-2082
Fax Number	:

Provider Business Practice Location Address
First Line	:	428 BELLA VIDA BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-6716
Country	:	US
Telephone Number	:	321-532-2082
Fax Number	:

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

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ SHEENA EARLY ” Practice Location

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