Healthcare Provider Details

I. General information

NPI: 1902343601
Provider Name (Legal Business Name): SHARITA GAITHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2017
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ROLLINS ST
ORLANDO FL
32803-1248
US

IV. Provider business mailing address

4040 LOBLOLLY OAK LN
APOPKA FL
32712-5923
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-7431
  • Fax:
Mailing address:
  • Phone: 321-256-3585
  • Fax: 321-256-3585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberAPRN3326642
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License NumberRN3326642
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: