Provider Demographics
NPI:1477605129
Name:SHEFFIELD, VAL (MD)
Entity Type:Individual
Prefix:
First Name:VAL
Middle Name:
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2916 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32446-3450
Mailing Address - Country:US
Mailing Address - Phone:850-372-4441
Mailing Address - Fax:850-372-4443
Practice Address - Street 1:2916 MADISON ST
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32446-3450
Practice Address - Country:US
Practice Address - Phone:850-372-4441
Practice Address - Fax:850-372-4443
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME45248207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL80053188OtherRAILROAD MEDICARE
FL20069OtherBLUE CROSS
FL69674900Medicaid
FL20069AMedicare ID - Type Unspecified
FLD85388Medicare UPIN