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General NPI Number Information
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NPI Number | 1316941289
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Entity Type | Individual
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Provider Name | SHARON DICRISTOFARO MD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 11317 LAKE UNDERHILL RD STE 600
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City | ORLANDO
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State | FL
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Zip | 32825-4453
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Country | US
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Telephone | 407-641-0426
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Fax | 407-641-0427
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Provider Business Mailing Address
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Address Line | 2600 WESTHALL LN
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City | MAITLAND
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State | FL
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Zip | 32751-7102
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Country | US
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Telephone | 407-200-2700
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME 128902
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME128902
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 20510
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME128902
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License Number State | FL
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