MEDICARE: SHARON LYNN PRELOZNIK

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	363LF0000X	Family Nurse Practitioner	11031885	FL

General Provider Information

NPI Number	:	1134988330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON LYNN PRELOZNIK

Provider Business Mailing Address
First Line	:	3814 SHOVELER AVE
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34748-8492
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4655 SALISBURY RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-0902
Country	:	US
Telephone Number	:	352-348-2151
Fax Number	:

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

Provider Enumeration Date	:	03/18/2024
Last Update Date	:	12/08/2025

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