Individual
SHELDON JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7613 MERCHANTVILLE CIR, ZEPHYRHILLS, FL 33540-2068
(813) 810-9397
Mailing address
19046 BRUCE B DOWNS BLVD STE 177, TAMPA, FL 33647-2434
(877) 704-7464
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
FL
172A00000X
Driver
—
—
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
—
FL
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
FL
376J00000X
Homemaker
237233
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922761782
—
FL
Enumeration date
08/16/2022
Last updated
08/16/2022
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