Healthcare Provider Details

I. General information

NPI: 1447309588
Provider Name (Legal Business Name): SHARON KAY MCCRAY DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 03/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35170 US HIGHWAY 19 N
PALM HARBOR FL
34684-1929
US

IV. Provider business mailing address

35170 US HIGHWAY 19 N
PALM HARBOR FL
34684-1929
US

V. Phone/Fax

Practice location:
  • Phone: 727-359-7603
  • Fax:
Mailing address:
  • Phone: 727-359-7603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number3630-012
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberCH7848
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: