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Individual

SHEILA R DICKERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
23 NORTH ST STE 2, PRESQUE ISLE, ME 04769-2295
(207) 760-9278
Mailing address
2546 MIDDLETON GROVE DR, BRANDON, FL 33511-4784
(813) 781-5233

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2079
ME
363A00000X
Physician Assistant
Primary
PA9105799
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013054000
FL
Enumeration date
05/27/2011
Last updated
08/16/2023
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