Individual
MS. SHERON BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4715 GREYCLIFF PRAIRIE DR, KISSIMMEE, FL 34758-3363
(407) 309-9869
(407) 264-8327
Mailing address
4715 GREYCLIFF PRAIRIE DR, KISSIMMEE, FL 34758-3363
(407) 309-9869
(407) 264-8327
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN5200123
FL
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/30/2011
Last updated
01/06/2016
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