Healthcare Provider Details

I. General information

NPI: 1598788937
Provider Name (Legal Business Name): LORELLI SHARON SITAHAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 01/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CONGRESS PARK DR STE 210
DELRAY BEACH FL
33445-4688
US

IV. Provider business mailing address

200 CONGRESS PARK DR STE 210
DELRAY BEACH FL
33445-4688
US

V. Phone/Fax

Practice location:
  • Phone: 561-279-0991
  • Fax: 561-279-0539
Mailing address:
  • Phone: 561-279-0991
  • Fax: 561-279-0539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberME88501
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: