Provider Demographics
NPI:1700531761
Name:SHELDON AND FURTADO PLLC
Entity Type:Organization
Organization Name:SHELDON AND FURTADO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELDON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:321-259-9980
Mailing Address - Street 1:2223 SARNO RD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-3003
Mailing Address - Country:US
Mailing Address - Phone:321-259-9980
Mailing Address - Fax:
Practice Address - Street 1:2223 SARNO RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-3003
Practice Address - Country:US
Practice Address - Phone:321-259-9980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDN21037OtherLICENSE NUMBER
FLDN19662OtherLICENSE NUMBER