| Shepherd Homes Corp | |
|
11845 Autumn Creek Dr Riverview FL 33569-2002 | |
| (718) 473-5783 | |
| Not Available |
| Full Name | Shepherd Homes Corp |
|---|---|
| Speciality | General Practice |
| Location | 11845 Autumn Creek Dr, Riverview, Florida |
| Authorized Official Name and Position | Alphanso Wright (OWNER) |
| Authorized Official Contact | 7184735783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepherd Homes Corp 11845 Autumn Creek Dr Riverview FL 33569-2002 Ph: (718) 473-5783 | Shepherd Homes Corp 11845 Autumn Creek Dr Riverview FL 33569-2002 Ph: (718) 473-5783 |
| NPI Number | 1568330173 |
|---|---|
| Provider Enumeration Date | 10/27/2025 |
| Last Update Date | 10/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568330173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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