Provider Demographics
NPI:1336436211
Name:MAK, SHEILA SHUK-YIN (DO)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:SHUK-YIN
Last Name:MAK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13115 W LINEBAUGH AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-4493
Mailing Address - Country:US
Mailing Address - Phone:727-306-9050
Mailing Address - Fax:656-218-2401
Practice Address - Street 1:13115 W LINEBAUGH AVE STE 101
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-4493
Practice Address - Country:US
Practice Address - Phone:727-306-9050
Practice Address - Fax:656-218-2401
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08954300208000000X
PAOS015663208000000X
FLOS12798208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL012933700Medicaid