Provider Demographics
NPI:1124349543
Name:MARIAN, SHEEBA (MD)
Entity type:Individual
Prefix:MS
First Name:SHEEBA
Middle Name:
Last Name:MARIAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:SHEEBA
Other - Middle Name:STEPHENSON
Other - Last Name:LEELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8718 CLUB ESTATES WAY
Mailing Address - Street 2:LAKE WORTH
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467
Mailing Address - Country:US
Mailing Address - Phone:561-699-2586
Mailing Address - Fax:561-244-8307
Practice Address - Street 1:1000 36TH STREET
Practice Address - Street 2:VERO BEACH
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960
Practice Address - Country:US
Practice Address - Phone:772-567-4311
Practice Address - Fax:216-636-6063
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME167070207R00000X, 207R00000X
FLARNP9220521363LP2300X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care