Provider Demographics
NPI:1871902197
Name:FITZMAURICE, SHEILA (MSW)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:FITZMAURICE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 PENINSULA CORPORATE CIR
Mailing Address - Street 2:SUITE 1006
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1378
Mailing Address - Country:US
Mailing Address - Phone:561-994-0310
Mailing Address - Fax:561-994-2045
Practice Address - Street 1:950 PENINSULA CORPORATE CIR
Practice Address - Street 2:SUITE 1006
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1378
Practice Address - Country:US
Practice Address - Phone:561-994-0310
Practice Address - Fax:561-994-2045
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-12
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW32711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical