MEDICARE: SHELBEE LAFEMINA

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	224Z00000X	Occupational Therapy Assistant	OTA14130	FL

General Provider Information

NPI Number	:	1609265040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBEE LAFEMINA

Provider Business Mailing Address
First Line	:	1891 55ST SW
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34116-5566
Country	:	US
Telephone Number	:	239-674-9374
Fax Number	:	239-491-3057

Provider Business Practice Location Address
First Line	:	904 LEE BLVD
Second Line	:	UNIT 106
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-4953
Country	:	US
Telephone Number	:	239-674-9374
Fax Number	:	239-491-3057

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

Provider Enumeration Date	:	01/22/2015
Last Update Date	:	01/22/2015

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Directions to “ SHELBEE LAFEMINA ” Practice Location

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