IndividualActive
Kelly Sheehan
NPI 1023705902 · Meals Provider · Miami, FL
Provider details
- NPI number
- 1023705902
- Entity type
- Individual
- Primary specialty
- Meals ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
1768 Sw 22nd Ave
Miami, FL 33145-2139
Phone: (305) 206-4696
Approximate (ZIP-level) locationGet directions
Mailing address
1768 Sw 22nd Ave
Miami, FL 33145-2139
Registry dates
- Enumerated
- 2023-04-20
- Last updated
- 2023-04-20
- Certified
- 2023-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.