MEDICARE: SHARON STEWART

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
1	207V00000X	Obstetrics & Gynecology Physician	ME115976	FL

General Provider Information

NPI Number	:	1124046214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON STEWART

Provider Business Mailing Address
First Line	:	5380 PRIMROSE LAKE CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3589
Country	:	US
Telephone Number	:	813-769-2778
Fax Number	:	813-769-2779

Provider Business Practice Location Address
First Line	:	5380 PRIMROSE LAKE CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3589
Country	:	US
Telephone Number	:	813-769-2778
Fax Number	:	813-769-2779

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	01/04/2022

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Directions to “ SHARON STEWART ” Practice Location

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