Provider Demographics
NPI:1154112639
Name:MOSLEY, SHERMIYA S
Entity type:Individual
Prefix:
First Name:SHERMIYA
Middle Name:S
Last Name:MOSLEY
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 E WASHINGTON ST APT A
Mailing Address - Street 2:
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34715-9227
Mailing Address - Country:US
Mailing Address - Phone:352-933-2288
Mailing Address - Fax:
Practice Address - Street 1:214 E WASHINGTON ST APT A
Practice Address - Street 2:
Practice Address - City:MINNEOLA
Practice Address - State:FL
Practice Address - Zip Code:34715-9227
Practice Address - Country:US
Practice Address - Phone:352-933-2288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator