| Doctor Name: | MRS. SHEENA L. URDAZ |
| NPI Number: | 1083020408 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 9108922 |
| Business Practice Address: | 1037 S State Road 7 Wellington, FL - 334146138 |
| Business Phone Number: | 4847061670 |
| Business Fax Number: | |
| Mailing Address: | 10884 Grandview Ct, ROYAL PALM BEACH |
| State: | FL |
| Postal Code: | 334114007 |
| Phone Number: | 4847061670 |
| Fax Number: | 9126811444 |
| NPI Enumeration Date: | 07/07/2014 |
| NPI Last Update Date: | 04/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 9108922 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |