Healthcare Provider Details

I. General information

NPI: 1427013523
Provider Name (Legal Business Name): ASHOK K SHARMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 SW 84TH AVE
PLANTATION FL
33324-2715
US

IV. Provider business mailing address

1700 NW 49TH ST STE 125
FORT LAUDERDALE FL
33309-3750
US

V. Phone/Fax

Practice location:
  • Phone: 954-382-0700
  • Fax: 954-382-0400
Mailing address:
  • Phone: 954-382-0700
  • Fax: 954-382-0400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME59073
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME59073
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: