Individual
MR. SHANE MAURICE CARSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN/PSYCH
Contact information
Practice address
1540 CITRUS MEDICAL CT, OCOEE, FL 34761-4547
(855) 501-1004
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(954) 431-9838
(954) 241-6726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN21345
SC
363LF0000X
Family Nurse Practitioner
APRN9338546
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9338546
FL
Other
Enumeration date
10/18/2017
Last updated
04/28/2026
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