Individual
SOHAAN A CHICHESTER-SHEPPERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1707 E OAK ST, ARCADIA, FL 34266-8925
(863) 448-9242
(863) 491-0760
Mailing address
19185 EDGEWATER DR, PORT CHARLOTTE, FL 33948-7653
(863) 448-9242
(863) 491-0760
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9107583
FL
Other
Enumeration date
11/12/2013
Last updated
08/26/2015
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