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NPI Code Detail

MEDICARE: DR. RAVI SHARMA ARNP, FNP-C

MEDICARE:  DR. RAVI  SHARMA  ARNP, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerNP95008949CA
2363LF0000XFamily Nurse PractitionerARNP9378451FL

General Provider Information

NPI Number : 1023412368
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAVI SHARMA ARNP, FNP-C
Provider Business Mailing Address
First Line : 2352 OKALANI ST
Second Line :
City : PALM SHORES
State : FL
Zip : 32940-7300
Country : US
Telephone Number : 815-508-0600
Fax Number : 888-506-2822
Provider Business Practice Location Address
First Line : 2352 OKALANI ST
Second Line :
City : PALM SHORES
State : FL
Zip : 32940-7300
Country : US
Telephone Number : 815-508-0600
Fax Number : 888-506-2822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2014
Last Update Date : 06/18/2024

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