Healthcare Provider Details

I. General information

NPI: 1801451984
Provider Name (Legal Business Name): ANTHONY SHARP NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2019
Last Update Date: 01/26/2024
Certification Date: 01/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 W COLONIAL DR
OCOEE FL
34761-3400
US

IV. Provider business mailing address

2944 CHEROKEE RD
SAINT CLOUD FL
34772-7430
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-3467
  • Fax:
Mailing address:
  • Phone: 321-281-7588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11002286
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN11002286
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: