MEDICARE: NITIN SHARMA MD

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	208800000X	Urology Physician	93074	SC
2	208800000X	Urology Physician	036145903	IL
3	208800000X	Urology Physician	ME168701	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	IZ915Z	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568753846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NITIN SHARMA MD

Provider Business Mailing Address
First Line	:	1920 DON WICKHAM DR STE 130
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-1978
Country	:	US
Telephone Number	:	352-536-8761
Fax Number	:	321-841-2120

Provider Business Practice Location Address
First Line	:	1920 DON WICKHAM DR STE 130
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-1978
Country	:	US
Telephone Number	:	352-536-8761
Fax Number	:	321-841-2120

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

Provider Enumeration Date	:	04/21/2011
Last Update Date	:	09/11/2024

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Directions to “ NITIN SHARMA MD” Practice Location

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