Provider Demographics
NPI:1639579261
Name:CADE, SHAKIRA
Entity Type:Individual
Prefix:MS
First Name:SHAKIRA
Middle Name:
Last Name:CADE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 617044
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32861-7044
Mailing Address - Country:US
Mailing Address - Phone:407-209-7582
Mailing Address - Fax:
Practice Address - Street 1:4676 PLEASANT VALLEY CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-4313
Practice Address - Country:US
Practice Address - Phone:407-209-7582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator