Provider Demographics
NPI:1235994666
Name:FITZPATRICK-STEWART, SHEKEDA (BS)
Entity Type:Individual
Prefix:
First Name:SHEKEDA
Middle Name:
Last Name:FITZPATRICK-STEWART
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99198 OVERSEAS HWY STE 3
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-2437
Mailing Address - Country:US
Mailing Address - Phone:305-896-8273
Mailing Address - Fax:305-451-8019
Practice Address - Street 1:99198 OVERSEAS HWY STE 3
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-2437
Practice Address - Country:US
Practice Address - Phone:305-896-8273
Practice Address - Fax:305-451-8019
Is Sole Proprietor?:No
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator