Healthcare Provider Details

I. General information

NPI: 1952258006
Provider Name (Legal Business Name): SHARON L CORTEZ CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON L CORTEZ CPT

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18790 CLOUD LAKE CIR
BOCA RATON FL
33496-2125
US

IV. Provider business mailing address

18790 CLOUD LAKE CIR
BOCA RATON FL
33496-2125
US

V. Phone/Fax

Practice location:
  • Phone: 754-290-7446
  • Fax:
Mailing address:
  • Phone: 754-290-7446
  • Fax: 954-827-1222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number474817
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberY2K7L8S5
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: