Provider Demographics
NPI:1639853104
Name:HINDS, SHALMAR
Entity Type:Individual
Prefix:
First Name:SHALMAR
Middle Name:
Last Name:HINDS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4417 SW 21ST LN
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-3835
Mailing Address - Country:US
Mailing Address - Phone:786-817-8261
Mailing Address - Fax:
Practice Address - Street 1:4417 SW 21ST LN
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-3835
Practice Address - Country:US
Practice Address - Phone:786-817-8261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services