Provider Demographics
NPI:1235202409
Name:SHEILA SHERBERT INC.
Entity Type:Organization
Organization Name:SHEILA SHERBERT INC.
Other - Org Name:SHEILA'S SHEER ELEGANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHERBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-775-1631
Mailing Address - Street 1:9840 ALTERNATE A1A
Mailing Address - Street 2:SUITE 401
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410
Mailing Address - Country:US
Mailing Address - Phone:561-775-1631
Mailing Address - Fax:561-775-1392
Practice Address - Street 1:9840 ALTERNATE A1A
Practice Address - Street 2:SUITE 401
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:561-775-1631
Practice Address - Fax:561-775-1392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4780480001OtherSUPPLIER NUMBER