Healthcare Provider Details

I. General information

NPI: 1760570626
Provider Name (Legal Business Name): SHARLA GAYLE PATTERSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARLA GAYLE WARTES M.D.

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 12/02/2021
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 KRAFT RD STE 202
NAPLES FL
34105-5020
US

IV. Provider business mailing address

11181 HEALTH PARK BLVD STE 1115
NAPLES FL
34110-5742
US

V. Phone/Fax

Practice location:
  • Phone: 239-758-7465
  • Fax:
Mailing address:
  • Phone: 239-758-7465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number062152
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number27211
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME115033
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number21116
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: