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NPI Code Detail

MEDICARE: SHERIL E STEPHEN

MEDICARE:   SHERIL E STEPHEN
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
11041C0700XClinical Social WorkerSW18853FL

General Provider Information

NPI Number : 1770383457
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERIL E STEPHEN
Provider Business Mailing Address
First Line : 8961 NW 26TH PL
Second Line :
City : SUNRISE
State : FL
Zip : 33322-2824
Country : US
Telephone Number : 954-663-6661
Fax Number :
Provider Business Practice Location Address
First Line : 1400 NW 14TH CT
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33311-5426
Country : US
Telephone Number : 754-322-1718
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2025
Last Update Date : 03/13/2025

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Directions to “ SHERIL E STEPHEN ” Practice Location

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