Ashley K Sharma, Md, Pa | |
33049 Professional Dr Ste 101 Leesburg FL 34788-3705 | |
(352) 787-9600 | |
(352) 787-8640 |
Full Name | Ashley K Sharma, Md, Pa |
---|---|
Speciality | Clinic/Center |
Location | 33049 Professional Dr, Leesburg, Florida |
Authorized Official Name and Position | Ashok Sharma (OWNER) |
Authorized Official Contact | 3527879600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ashley K Sharma, Md, Pa 33049 Professional Dr Ste 101 Leesburg FL 34788-3705 Ph: (352) 787-9600 | Ashley K Sharma, Md, Pa 33049 Professional Dr Ste 101 Leesburg FL 34788-3705 Ph: (352) 787-9600 |
NPI Number | 1194115980 |
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Provider Enumeration Date | 01/31/2015 |
Last Update Date | 01/31/2015 |
Medicare PECOS PAC ID | 4082965157 |
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Medicare Enrollment ID | O20180928002148 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194115980 | NPI | - | NPPES |
42724 | Other | FL | BCBS FLORIDA PROVIDER NO. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | ME73557 (Florida) | Primary |
Provider Name | Ashok K Sharma |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740201136 PECOS PAC ID: 9032244579 Enrollment ID: I20100323000149 |
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