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NPI Code Detail

MEDICARE: MS. ANITA R SHELDON RN

MEDICARE:  MS. ANITA R SHELDON  RN
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
1163WC0400XCase Management Registered NurseRN669142FL

General Provider Information

NPI Number : 1851698278
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANITA R SHELDON RN
Provider Business Mailing Address
First Line : 1800 THE GREENS WAY
Second Line : UNIT 108
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-2451
Country : US
Telephone Number : 904-373-0230
Fax Number : 904-373-0230
Provider Business Practice Location Address
First Line : 1800 THE GREENS WAY
Second Line : UNIT 108
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-2451
Country : US
Telephone Number : 904-373-0230
Fax Number : 904-373-0230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2011
Last Update Date : 02/21/2011

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