Healthcare Provider Details

I. General information

NPI: 1366780801
Provider Name (Legal Business Name): SHARP DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2013
Last Update Date: 01/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 S CONGRESS AVE STE 400
DELRAY BEACH FL
33445-7346
US

IV. Provider business mailing address

3333 S CONGRESS AVE STE 400
DELRAY BEACH FL
33445-7346
US

V. Phone/Fax

Practice location:
  • Phone: 561-266-3851
  • Fax: 561-266-3883
Mailing address:
  • Phone: 561-266-3851
  • Fax: 561-266-3883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL S FEDER
Title or Position: PRESIDENT
Credential: D.C
Phone: 561-266-3851