Provider Demographics
NPI:1568786044
Name:SHEIMAN, JEANNE (LMT)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:SHEIMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3115 ANQUILLA AVE
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-5298
Mailing Address - Country:US
Mailing Address - Phone:352-243-8157
Mailing Address - Fax:
Practice Address - Street 1:3115 ANQUILLA AVE
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-5298
Practice Address - Country:US
Practice Address - Phone:352-243-8157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA34872225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist