Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shalita Pettway

Individual provider Case Manager/Care Coordinator · NPI 1912309642

Shalita Pettway is a Case Manager/Care Coordinator in Port St Lucie, Florida. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
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Practice location Address checks out

7229 Pine Lakes Blvd
Port St Lucie, FL 34952
Phone: (772) 214-6911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1912309642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2014
Last updated in NPPESSeptember 25, 2014

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