Provider Demographics
NPI:1407579006
Name:STEELE, SHELBY REBECCA
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:REBECCA
Last Name:STEELE
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 1:907 BAINBRIDGE LOOP
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-2466
Mailing Address - Country:US
Mailing Address - Phone:407-955-8268
Mailing Address - Fax:
Practice Address - Street 1:27637 US HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-9033
Practice Address - Country:US
Practice Address - Phone:352-326-6001
Practice Address - Fax:352-315-0235
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11021850363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily