Individual
SHEILA BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12791 SE 47TH AVE, BELLEVIEW, FL 34420
(352) 347-9122
(352) 347-9122
Mailing address
12791 SE 47TH AVE, BELLEVIEW, FL 34420-5014
(352) 347-9122
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009907300
—
FL
Enumeration date
01/31/2019
Last updated
01/31/2019
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