Shellman, Tomaco Nicole

Shellman, Tomaco Nicole is an sole proprietor health care provider with primary practice located at 410 Ware Boulevard Suite 813, Tampa FL 33619. She recently has 3 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is her primary health care specialty. Shellman, Tomaco Nicole can be contacted via phone (813) 578-7547.

Contact Information

Primary practice address
410 Ware Boulevard Suite 813 Tampa FL 33619
Phone: (813) 578-7547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X Florida
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1518689728
LBN Legal business name Shellman, Tomaco Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2022
Last updated Mar 11th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518689728 NPPES
Florida Other 239605 AHCA
Florida MEDICAID 115642700 AHCA

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