Individual
MS. TOMACO NICOLE SHELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10940 N 56TH ST STE 201, TEMPLE TERRACE, FL 33617-3005
(813) 578-7547
Mailing address
1106 BRISTOLWOOD ST, BRANDON, FL 33510-2607
(813) 418-9959
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115642700
—
FL
01
—
239605
AHCA
FL
Enumeration date
09/14/2022
Last updated
10/22/2025
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