MEDICARE: SHARONDA D PURIFOY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1285133710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARONDA D PURIFOY

Provider Business Mailing Address
First Line	:	8049 STEAMBOAT SPRINGS DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-9764
Country	:	US
Telephone Number	:	904-415-0342
Fax Number	:

Provider Business Practice Location Address
First Line	:	8049 STEAMBOAT SPRINGS DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-9764
Country	:	US
Telephone Number	:	904-352-7761
Fax Number	:	904-990-1433

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2018
Last Update Date	:	10/03/2025

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Directions to “ SHARONDA D PURIFOY ” Practice Location

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