MEDICARE: RINA SHIELLA MIRANDA SACULLES

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11042783	FL

General Provider Information

NPI Number	:	1396604914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RINA SHIELLA MIRANDA SACULLES

Provider Business Mailing Address
First Line	:	700 CARLYLE AVE SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-4533
Country	:	US
Telephone Number	:	330-880-7364
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 CARLYLE AVE SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-4533
Country	:	US
Telephone Number	:	330-880-7364
Fax Number	:

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

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

Similar Medicare Providers

1831903756 — FUNELAS CARE TRANSPORTATION LLC
Practice Location Address:

750 CARLYLE AVE SE
PALM BAY, FL
32909-4533

Practice Phone: 321-557-2198
Practice Fax:

1134291826 — TOTALMAX CORP
Practice Location Address:

4080 NW 132ND ST , BAY M
OPA LOCKA, FL
33054-4533

Practice Phone: 786-413-0887
Practice Fax: 786-413-0888

1285831214 — PERSONAL ELDER CARE INC.
Practice Location Address:

4533 BROOK DR
WEST PALM BEACH, FL
33417-8206

Practice Phone: 561-684-4960
Practice Fax: 561-683-9696

1326247255 — DRC THERAPY SERVICES
Practice Location Address:

286 MULBERRY GROVE RD
ROYAL PALM BEACH, FL
33411-4533

Practice Phone: 561-281-0049
Practice Fax: 561-784-5905

1609052653 — WHOLE BODY REHABILITATION INC
Practice Location Address:

5093 OKEECHOBEE BLVD
WEST PALM BEACH, FL
33417-4533

Practice Phone: 561-967-1022
Practice Fax: 561-616-3234

1609037761 — DR. VU D NGO D.M.D.
Practice Location Address:

5061 OKEECHOBEE BLVD
WEST PALM BEACH, FL
33417-4533

Practice Phone: 561-296-3088
Practice Fax: 561-202-6978

Directions to “ RINA SHIELLA MIRANDA SACULLES ” 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.