Provider Demographics
NPI:1598539371
Name:SHUGAPOTT BIRTH & WELLNESS LLC
Entity Type:Organization
Organization Name:SHUGAPOTT BIRTH & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COMMUNITY DOULA COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERLONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-751-6118
Mailing Address - Street 1:9200 NW 39TH AVE # 130-3425
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-7331
Mailing Address - Country:US
Mailing Address - Phone:843-751-6118
Mailing Address - Fax:
Practice Address - Street 1:4455 SW 34TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-7582
Practice Address - Country:US
Practice Address - Phone:843-564-7707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty