Individual
DAYLEE SUE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 294-5481
Mailing address
BOX 100277, GAINESVILLE, FL 32610-0277
(352) 294-5481
(352) 392-6481
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111938
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102093900
—
FL
Enumeration date
12/16/2018
Last updated
04/17/2023
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