Individual
CAMEIKA ODELVEZ SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4501 WATERMAN WAY, TAVARES, FL 32778-5312
(872) 231-3162
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
APRN11016040
FL
207R00000X
Internal Medicine Physician
APRN11016040
FL
208VP0000X
Pain Medicine Physician
APRN11016040
FL
363L00000X
Nurse Practitioner
Primary
11016040
FL
Other
Enumeration date
11/07/2021
Last updated
11/21/2025
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