Provider Demographics
NPI:1780758029
Name:SHEINMAN, PHYLLIS BRILLIANT (ARNP-C)
Entity type:Individual
Prefix:MS
First Name:PHYLLIS
Middle Name:BRILLIANT
Last Name:SHEINMAN
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 ISLAND BLVD APT 807
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3772
Mailing Address - Country:US
Mailing Address - Phone:305-790-3230
Mailing Address - Fax:
Practice Address - Street 1:6000 ISLAND BLVD APT 807
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-3772
Practice Address - Country:US
Practice Address - Phone:305-790-3230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1697592363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health