Provider Demographics
NPI:1881069482
Name:DUNKLEY, NESHORMEH SHERRITTA
Entity type:Individual
Prefix:
First Name:NESHORMEH
Middle Name:SHERRITTA
Last Name:DUNKLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 W SAMPLE RD
Mailing Address - Street 2:11
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4690
Mailing Address - Country:US
Mailing Address - Phone:203-578-7888
Mailing Address - Fax:
Practice Address - Street 1:8401 W SAMPLE RD
Practice Address - Street 2:11
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4690
Practice Address - Country:US
Practice Address - Phone:203-578-7888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT141972279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health