Provider Demographics
NPI:1992397046
Name:SHEFFIELD, KAYLA MARCIA (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:MARCIA
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1581 BELLA CRUZ DR
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-8970
Mailing Address - Country:US
Mailing Address - Phone:561-670-7004
Mailing Address - Fax:
Practice Address - Street 1:1581 BELLA CRUZ DR
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-8970
Practice Address - Country:US
Practice Address - Phone:352-750-9959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-10
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS61999183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist