Provider Demographics
NPI:1679618813
Name:SHEFFIELD, SANDRA ALISA (RRT)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:ALISA
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 S KROME AVE
Mailing Address - Street 2:
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-4906
Mailing Address - Country:US
Mailing Address - Phone:305-242-8122
Mailing Address - Fax:305-242-8837
Practice Address - Street 1:335 S KROME AVE
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-4906
Practice Address - Country:US
Practice Address - Phone:305-242-8122
Practice Address - Fax:305-242-8837
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT35152279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care