Individual
MISS SHAMEKA YVONNE TIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10330 NUVISTA AVE, WELLINGTON, FL 33414-9365
(872) 231-3162
Mailing address
PO BOX 1040, SYOSSET, NY 11791-0010
(800) 860-3274
(888) 910-1059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9510631
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11031605
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11031605
FL
363LG0600X
Gerontology Nurse Practitioner
F31211301
NY
Other
Enumeration date
12/17/2020
Last updated
05/07/2026
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