NPI 1174163687
Shacola Bridges
Practice location
- Address
- 4765 Osprey Way, Winter Haven, FL 33881-9105
- Phone
- (954) 865-4809
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1174163687
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Jan 2020
- Record last updated
- 13 Jan 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.