Individual
REGINA SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10135 GATE PKWY N SUITE 1516, JACKSONVILLE, FL 32246-8267
(352) 658-1016
(800) 396-7959
Mailing address
10135 GATE PKWY N APT 1516, JACKSONVILLE, FL 32246-8267
(954) 224-8216
(800) 396-7959
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
251B00000X
Case Management Agency
—
FL
251E00000X
Home Health Agency
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023543700
—
FL
Enumeration date
09/11/2020
Last updated
10/28/2020
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